Document Detail


Left main coronary artery and supravalvular aortic stenosis in adult: treatment with ostial patchplasty and modified Brom procedure.
MedLine Citation:
PMID:  19438785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Left main coronary artery (LMCA) stenosis accompanying to supravalvular aortic stenosis is a very uncommon, serious congenital abnormality. Aortic valve leaflet fusions and intimal thickening of the aortic valve leaflets and coronary artery are the underlying pathologies for the LMCA stenosis. We operated on a 21-year-old male patient for supravalvar aortic stenosis with LMCA ostial stenosis. We enlarged the LMCA with a pericardial patch (ostial plasty) and reconstructed the aortic root with a modified Brom procedure. Postoperative course was uneventful; echocardiographic evaluation revealed a normal functioning aortic valve with a normal left ventricular function. Gradient at left ventricular outflow tract was decreased a great deal. Although supravalvular aortic stenosis with LMCA stenosis is a very rare congenital abnormality, this clinical entity can be successfully corrected with detailed and selected surgical procedures.
Authors:
B Kaan Inan; Alper Ucak; A Umit Gullu; Veysel Temizkan; Murat Ugur; Ahmet Turan Yilmaz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  24     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-14     Completed Date:  2009-08-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  299-300     Citation Subset:  IM    
Affiliation:
Gulhane Military Academy of Medicine, Haydarpasa Training Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Aortic Stenosis, Subvalvular / complications,  diagnosis,  surgery*
Blood Vessel Prosthesis*
Coronary Stenosis / complications,  diagnosis,  surgery*
Echocardiography, Transesophageal
Follow-Up Studies
Heart Catheterization
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Polyethylene Terephthalates*
Surgical Mesh*
Young Adult
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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