An Unusual Complication of Three-Patch Repair of Supravalvar Aortic Stenosis

被引：4
|
作者：
Delius, Ralph E. [1 ]
Walters, Henry L., III [1 ]
Bondarenko, Igor [1 ]
机构：
[1] Childrens Hosp Michigan, Dept Cardiovasc Surg, Detroit, MI 48201 USA
来源：
ANNALS OF THORACIC SURGERY | 2014年 / 98卷 / 04期
关键词：
AORTOPLASTY;
D O I：
10.1016/j.athoracsur.2013.11.076
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Three-patch repair of supravalvar aortic stenosis is a widely accepted surgical approach for this congenital heart lesion. We describe an unusual complication of this approach, which resulted in ischemia in the left anterior coronary artery distribution. Subtle oversizing of the left sinus of Valsalva patch led to kinking of the origin of the left anterior descending artery; the circumflex artery was not affected. Sinus of Valsalva reconstruction and reimplantation of the left coronary button restored normal coronary perfusion. (C) 2014 by The Society of Thoracic Surgeons
引用
收藏
页码：1449 / 1451
页数：3
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