Surgical Correction of Diffuse Supravalvular Aortic Stenosis Involving the Branches of the Aortic Arch Gideon Merin, M.D., Isac J. Copperman, M.D., Joseph.

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Presentation transcript:

Surgical Correction of Diffuse Supravalvular Aortic Stenosis Involving the Branches of the Aortic Arch Gideon Merin, M.D., Isac J. Copperman, M.D., Joseph B. Borman, M.B. CHEST Volume 70, Issue 4, Pages 546-549 (October 1976) DOI: 10.1378/chest.70.4.546 Copyright © 1976 The American College of Chest Physicians Terms and Conditions

Figure 1 Preoperative electrocardiographic tracing showing marked left ventricular hypertrophy. CHEST 1976 70, 546-549DOI: (10.1378/chest.70.4.546) Copyright © 1976 The American College of Chest Physicians Terms and Conditions

Figure 2 Angiocardiogram showing supravalvar stenosis extending into orifices of innominate and left carotid arteries. CHEST 1976 70, 546-549DOI: (10.1378/chest.70.4.546) Copyright © 1976 The American College of Chest Physicians Terms and Conditions

Figure 3 Diagrammatic representation of final repair utilizing wide ascending aortic patch graft (including orifice of innominate artery) and bypass graft to left common carotid artery. CHEST 1976 70, 546-549DOI: (10.1378/chest.70.4.546) Copyright © 1976 The American College of Chest Physicians Terms and Conditions

Figure 4 Electrocardiogram one year after surgery is within normal limits. CHEST 1976 70, 546-549DOI: (10.1378/chest.70.4.546) Copyright © 1976 The American College of Chest Physicians Terms and Conditions

Figure 5 Second stage of repair. Right carotid flow is now supplied by cannula with direct perfusion, as aortic clamp is now distal to right innominate artery. CHEST 1976 70, 546-549DOI: (10.1378/chest.70.4.546) Copyright © 1976 The American College of Chest Physicians Terms and Conditions