Outcome of Surgical Correction of Congenital Supravalvular Aortic Stenosis With Two- and Three-Sinus Reconstruction Techniques Peter Kramer, MD, Daniel.

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Presentation transcript:

Outcome of Surgical Correction of Congenital Supravalvular Aortic Stenosis With Two- and Three-Sinus Reconstruction Techniques Peter Kramer, MD, Daniel Absi, MD, Roland Hetzer, MD, PhD, Joachim Photiadis, MD, PhD, Felix Berger, MD, PhD, Vladimir Alexi- Meskishvili, MD, PhD The Annals of Thoracic Surgery Volume 97, Issue 2, Pages 634-640 (February 2014) DOI: 10.1016/j.athoracsur.2013.09.083 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Kaplan-Meyer estimates of survival and reoperation after surgery for supravalvular aortic stenosis (SVAS). (A) Overall survival of the entire cohort, infants and patients greater than 1 year of age, respectively. (B) Overall freedom from reoperation of the entire cohort and infants and patients greater than 1 year of age. (C) Freedom from reoperation according to presence of diffuse or discrete SVAS. (Numbers in parentheses represent patients at risk.) The Annals of Thoracic Surgery 2014 97, 634-640DOI: (10.1016/j.athoracsur.2013.09.083) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Peak systolic aortic pressure gradient. Echocardiographic peak gradient (mean + standard deviation) in the single-patch augmentation (McGoon [3]), 2-sinus reconstruction (Doty) [4], and 3-sinus reconstruction (Brom [5] and Souza [11]/Myers [12]) groups. Values are depicted preoperatively, postoperatively before hospital discharge (0), and at mean follow-up times of the respective surgical groups. Mean follow-up was 10.0 ± 7.4 years (McGoon [3]), 9.6 ± 5.7 years (Doty), and 3.1 ± 0.5 years (3-sinus reconstruction). The Annals of Thoracic Surgery 2014 97, 634-640DOI: (10.1016/j.athoracsur.2013.09.083) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions