Surgical Correction of Congenital Supravalvular Aortic Stenosis

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Outcome of surgical correction of congenital supravalvular aortic stenosis with two- and three-sinus reconstruction techniques.

BACKGROUND Several surgical techniques for the treatment of congenital supravalvular aortic stenosis have been developed, yet there is no consensus about the optimal approach. We reviewed our institutional experience with 2- and 3-sinus reconstruction techniques. METHODS Thirty-eight patients operated on for supravalvular aortic stenosis between 1987 and 2012 in our institution were analyzed ...

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In 3 patients obstruction to left ventricular outflow was shown to be due to a localized narrowing of the aortic root at the point of insertion of the aortic leaflets. The site of obstruction was localized by left heart catheterization and selective angiography. The pathologic findings in 2 patients are described and the problem of the surgical management of this unusual form of aortic stenosis...

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Correction of Congenital Aortic Stenosis

Children with congenital aortic stenosis have "excessive" left ventricular hypertrophy with reduced resting systolic wall stress that allows for supernormal ejection performance. If aortic stenosis is uncorrected, this pattern persists until adulthood. The effect of removing the aortic pressure gradient on left ventricular hypertrophy and wall stress in children with congenital aortic stenosis ...

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ژورنال

عنوان ژورنال: Operative Techniques in Thoracic and Cardiovascular Surgery

سال: 2016

ISSN: 1522-2942

DOI: 10.1053/j.optechstcvs.2017.05.003