Key result
Symmetric three-patch (Brom) repair successfully treated severe congenital supravalvular aortic stenosis in two pediatric patients, resulting in postoperative peak aortic systolic gradients of 10 and 15 mmHg with no residual stenosis.
Why the study?
Does symmetric three-patch repair (Brom technique) improve hemodynamics and clinical outcomes in patients with congenital supravalvular aortic stenosis?
Case Report (n=2)
No
Does symmetric three-patch repair (Brom technique) improve hemodynamics and clinical outcomes in patients with congenital supravalvular aortic stenosis?
The symmetric three-patch repair (Brom technique) successfully relieved left ventricular outflow tract obstruction and restored normal hemodynamics in two pediatric patients with congenital supravalvular aortic stenosis.
Supports Brom repair feasibility in pediatric supravalvular aortic stenosis; hypothesis-generating pending larger studies.
Various surgical techniques have been described to repair congenital supravalvular aortic stenosis, but the best technique is still controversial. The three-patch repair reconstructs a symmetric aortic root and is supposed to restore a normal physiology. We present two successfully operated patients who had congenital supravalvular aortic stenosis using symmetric three-patch repair. We will discuss the decision making of surgical techniques, and its effects of postoperative course of this pathology in this case report.
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Karaçelik et al. (2016) conducted a case report in Congenital supravalvular aortic stenosis (n=2). Symmetric three-patch repair (Brom technique) was evaluated on Postoperative peak aortic systolic gradient and residual stenosis. Symmetric three-patch (Brom) repair successfully treated severe congenital supravalvular aortic stenosis in two pediatric patients, resulting in postoperative peak aortic systolic gradients of 10 and 15 mmHg with no residual stenosis.
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