HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Vouhe, P. R. Articles by Pietri, J. Search for Related Content PubMed PubMed Citation Articles by Vouhe, P. R. Articles by Pietri, J.

The Journal of Thoracic and Cardiovascular Surgery, Vol 87, 887-893, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Aortoseptal approach for optimal resection of diffuse subvalvular aortic stenosis

PR Vouhe, H Poulain, G Bloch, DY Loisance, J Gamain, M Lombaert, JC Quiret, JP Lesbre, P Bernasconi and J Pietri

The results of conventional operative resection of diffuse subaortic stenosis (tunnel subaortic stenosis and diffuse idiopathic hypertrophic subaortic stenosis) have been less than satisfactory. A new approach using the concept of aortoventriculoplasty was designed to allow adequate surgical resection of a diffuse subvalvular aortic stenosis. The aorta, the right ventricle, and the septum are incised in the same way as during aortoventriculoplasty , with the aortic anulus being divided carefully across the commissure between the left and right aortic cusps. The septotomy is extended beyond the limits of the stenosis, and fibrous and/or muscular tissue is removed from each edge of the septal incision. After adequate widening of the subvalvular area, the various incisions are closed and the aortic valve is reconstructed. This aortoseptal approach was studied experimentally in the dog and then carried out on two patients, both of whom had excellent hemodynamic and functional results. The aortoseptal approach may be the procedure of choice in the treatment of diffuse stenoses limited to the subvalvular area, whereas other procedures ( aortoventriculoplasty , and apico-aortic valved conduit) should be used when the valvular and/or supravalvular levels are involved.

This article has been cited by other articles:

				R. Barkhordarian, H. Uemura, M. L. Rigby, B. Sethia, D. Shore, A. Goebells, and S. Yen Ho A retrospective review in 50 patients with subaortic stenosis and intact ventricular septum: 5-year surgical experience Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 35 - 38. [Abstract] [Full Text] [PDF]

				K. H. Nguyen Congenital Heart Surgery Database and Nomenclature Project: aortic valve disease Ann. Thorac. Surg., April 1, 2000; 69(4): S118 - 131. [Abstract] [Full Text] [PDF]

				H. K. Najm, J. G. Coles, M. D. Black, L. Benson, and W. G. Williams EXTENDED AORTIC ROOT REPLACEMENT WITH AORTIC ALLOGRAFTS OR PULMONARY AUTOGRAFTS IN CHILDREN J. Thorac. Cardiovasc. Surg., September 1, 1999; 118(3): 503 - 509. [Abstract] [Full Text] [PDF]

				P. T. Roughneen, S. Y. DeLeon, F. Cetta, D. A. Vitullo, T. J. Bell, E. A. Fisher, B. P. Blakeman, and M. Bakhos Modified Konno-Rastan Procedure for Subaortic Stenosis: Indications, Operative Techniques, and Results Ann. Thorac. Surg., May 1, 1998; 65(5): 1368 - 1376. [Abstract] [Full Text] [PDF]

				R. A. Jonas, Boston, Mass., J. M. Quaegebeur, N. York, N.Y., J. W. Kirklin, E. H. Blackstone, Birmingham, Ala., et al. Outcomes in patients with interrupted aortic arch and ventricular septal defectA multiinstitutional study J. Thorac. Cardiovasc. Surg., April 1, 1994; 107(4): 1099 - 1113. [Abstract] [Full Text]