Key result
Insertion of a large patch graft into an aortic incision across the stenotic area using total cardiopulmonary bypass satisfactorily managed supravalvular aortic stenosis with small operative risk.
Why the study?
Does surgical patch grafting provide satisfactory outcomes in patients with supravalvular aortic stenosis?
Case Report (n=9)
Does surgical patch grafting provide satisfactory outcomes in patients with supravalvular aortic stenosis?
Surgical repair of supravalvular aortic stenosis using a large patch graft under cardiopulmonary bypass is a safe and effective management strategy.
May support patch grafting for supravalvular aortic stenosis in select cases; hypothesis-generating and requires prospective validation.
Nine cases of surgically treated supravalvular aortic stenosis have been presented. The pertinent literature has been reviewed. It is concluded that this anomaly can be managed satisfactorily by insertion of a large patch graft into an aortic incision placed across the stenotic area and extended well beyond it in both directions. Total cardiopulmonary bypass is utilized. Left ventricular decompression and coronary arterial perfusion are valuable adjuvants. The risk of operation appears to be small and the results rewarding.
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Shumacker et al. (1965) conducted a case report in Supravalvular aortic stenosis (n=9). Insertion of a large patch graft into an aortic incision across the stenotic area was evaluated. Insertion of a large patch graft into an aortic incision across the stenotic area using total cardiopulmonary bypass satisfactorily managed supravalvular aortic stenosis with small operative risk.
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