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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 on theme: "Surgical Correction of Diffuse Supravalvular Aortic Stenosis Involving the Branches of the Aortic Arch  Gideon Merin, M.D., Isac J. Copperman, M.D., Joseph."— Presentation transcript:

1 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 (October 1976) DOI: /chest Copyright © 1976 The American College of Chest Physicians Terms and Conditions

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

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

4 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  , DOI: ( /chest ) Copyright © 1976 The American College of Chest Physicians Terms and Conditions

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

6 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  , DOI: ( /chest ) Copyright © 1976 The American College of Chest Physicians Terms and Conditions


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