Late Outcomes for Surgical Repair of Supravalvar Aortic Stenosis

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Presentation transcript:

Late Outcomes for Surgical Repair of Supravalvar Aortic Stenosis Salil V. Deo, MD, Harold M. Burkhart, MD, Hartzell V. Schaff, MD, Zhuo Li, MS, Paul E. Stensrud, MD, Timothy M. Olson, MD, Heidi M. Connolly, MD, Joseph A. Dearani, MD The Annals of Thoracic Surgery Volume 94, Issue 3, Pages 854-859 (September 2012) DOI: 10.1016/j.athoracsur.2012.04.022 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diamond-shaped patch repair for discrete supravalvar aortic stenosis. (A) An incision is made in the proximal ascending aorta and carried down into the noncoronary sinus of Valsalva. (B) The edges of the incision are retracted demonstrating the supravalvar ridge. (C) The stenotic ridge is excised. (D) A generous diamond-shaped patch is sutured to the edge of the aorta. (LCA = left coronary artery; NCC = noncoronary cusp; RCA = right coronary artery.) The Annals of Thoracic Surgery 2012 94, 854-859DOI: (10.1016/j.athoracsur.2012.04.022) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pantaloons-shaped patch repair of discrete supravalvar aortic stenosis. (A) An incision is made into the noncoronary sinus of Valsalva and an extension is made into the right sinus to the left of the right coronary ostium. (B) After excision of the supravalvar ridge (not shown), a pantaloons-shaped shaped patch is sutured to the edges of the aorta. The Annals of Thoracic Surgery 2012 94, 854-859DOI: (10.1016/j.athoracsur.2012.04.022) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Kaplan–Meier curves depicting the relationships for type of (A, B) significant AS or (C, D) SVAS with (A, C) survival and (B, D) freedom from late reoperation. (AS = aortic stenosis; SVAS = supravalvar aortic stenosis.) The Annals of Thoracic Surgery 2012 94, 854-859DOI: (10.1016/j.athoracsur.2012.04.022) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions