Skip to main content
Top
Published in: Journal of Cardiothoracic Surgery 1/2016

Open Access 01-12-2016 | Case report

Novel three-sinus enlargement technique for supravalvular aortic stenosis without aortic transection

Authors: Shinya Yokoyama, Hisao Nagato, Yuichi Yoshida, Shigeo Nagasaka, Kozo Kaneda, Noboru Nishiwaki

Published in: Journal of Cardiothoracic Surgery | Issue 1/2016

Login to get access

Abstract

Background

Although repair of a supravalvular aortic stenosis (SVAS) can be performed with low mortality rates, surgery for the complex form of SVAS continues to be associated with a high incidence of residual stenosis.

Case presentation

The patient was referred to our hospital at 1 month of age and was diagnosed with aortic valve stenosis (AS) by using echocardiography. Cardiac catheterization revealed moderate AS, and subsequent left ventriculography revealed discrete stenosis of the sino-tubular junction and a narrowed proximal ascending aorta. We performed a reconstructive operation for such heart defects involving novel three-sinus and ascending aorta enlargement without aortic root transection in a 6-month-old boy.

Conclusion

Our novel three-sinus enlargement technique is suitable for treating each type of SVAS and is a useful method for a baby particularly less than 10 kg without disturbing the growth of the ascending aorta.
Literature
1.
go back to reference Stumm C, Kreutzer C, Zurakowski D, Nollert G, Friehs I, Mayer JE et al. Forty-one years of surgicall experience with congenitall supuravalvular aortic stenosis. J Thorac Cardiovasc Surg. 1999;118:874–85.CrossRef Stumm C, Kreutzer C, Zurakowski D, Nollert G, Friehs I, Mayer JE et al. Forty-one years of surgicall experience with congenitall supuravalvular aortic stenosis. J Thorac Cardiovasc Surg. 1999;118:874–85.CrossRef
2.
go back to reference Myers JL, Waldhausen JA, Cyran SE, Gleason MM, Weber HS, Baylen BG. Results of surgicalrepair of congenital supravalvular aortic stenosis. J Thorac Cardiovasc Surg. 1993;105:281–7. Myers JL, Waldhausen JA, Cyran SE, Gleason MM, Weber HS, Baylen BG. Results of surgicalrepair of congenital supravalvular aortic stenosis. J Thorac Cardiovasc Surg. 1993;105:281–7.
3.
go back to reference Mcgoon DC, Mankin HT, Vlad P, Kirklin JW. The surgicall treatment of supuravalvular aortic stenosis. J Thorac Cardiovasc Surg. 1961;41:125–33. Mcgoon DC, Mankin HT, Vlad P, Kirklin JW. The surgicall treatment of supuravalvular aortic stenosis. J Thorac Cardiovasc Surg. 1961;41:125–33.
4.
go back to reference Doty DB, Polansky DB, Jenson CB. Supravalvular aortic stenosis – repair by extended aortoplasty. J Thorac Cardiovasc Surg. 1977;74:362–71.PubMed Doty DB, Polansky DB, Jenson CB. Supravalvular aortic stenosis – repair by extended aortoplasty. J Thorac Cardiovasc Surg. 1977;74:362–71.PubMed
5.
go back to reference Brom AG. Obstruction of the left ventricular outflow tract. In: Khonsari S, editor. Cardiac surgert: safeguards and pitfalls in operative technique. 1st ed. Rockvill, MD: Aspen Publishers; 1988. p. 276–80. Brom AG. Obstruction of the left ventricular outflow tract. In: Khonsari S, editor. Cardiac surgert: safeguards and pitfalls in operative technique. 1st ed. Rockvill, MD: Aspen Publishers; 1988. p. 276–80.
6.
go back to reference Konno S, Imai Y, Iida Y, Nakajima M, Tatsuno K. A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thorc Cardiovasc Surg. 1975;70:909–17. Konno S, Imai Y, Iida Y, Nakajima M, Tatsuno K. A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thorc Cardiovasc Surg. 1975;70:909–17.
7.
go back to reference Manouguian S, Seybold-Epting W. Patch enlargement of the aortic valve ring by extending the aortic incision into the anterior mitral leaflet. New operation technique. J Thoracic Cardiovasc Surg. 1979;78:402–12. Manouguian S, Seybold-Epting W. Patch enlargement of the aortic valve ring by extending the aortic incision into the anterior mitral leaflet. New operation technique. J Thoracic Cardiovasc Surg. 1979;78:402–12.
8.
go back to reference Arnáiz E, Koolbergen D, Adsuar A, Hazekamp MG. Surgery for supravalvular aortic stenosis–the three-patch technique. Multimedia Manual of Cardio-Thoracic Surgery, 2008(0915), mmcts-2006. Arnáiz E, Koolbergen D, Adsuar A, Hazekamp MG. Surgery for supravalvular aortic stenosis–the three-patch technique. Multimedia Manual of Cardio-Thoracic Surgery, 2008(0915), mmcts-2006.
Metadata
Title
Novel three-sinus enlargement technique for supravalvular aortic stenosis without aortic transection
Authors
Shinya Yokoyama
Hisao Nagato
Yuichi Yoshida
Shigeo Nagasaka
Kozo Kaneda
Noboru Nishiwaki
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2016
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-016-0403-5

Other articles of this Issue 1/2016

Journal of Cardiothoracic Surgery 1/2016 Go to the issue