Progressive diffuse aortic stenosis after localized supravalvular aortic stenosis repair
| Autor: | Yasushi Nishiya, Shuichi Hoshino, Takashi Azuma, Yoshimichi Kosaka |
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| Rok vydání: | 2003 |
| Předmět: |
Male
Reoperation Aortic arch medicine.medical_specialty Aorta Thoracic Blood Vessel Prosthesis Implantation medicine.artery Internal medicine Humans Medicine Cardiac skeleton Child Heart Valve Prosthesis Implantation Aorta Cardiopulmonary Bypass Aortic Arch Syndromes business.industry medicine.disease Cardiac surgery Aortic Stenosis Supravalvular Pulmonary Valve Stenosis Stenosis Cardiothoracic surgery Descending aorta Disease Progression cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business Supravalvular aortic stenosis |
| Zdroj: | The Japanese Journal of Thoracic and Cardiovascular Surgery. 51:675-677 |
| ISSN: | 1863-2092 1344-4964 |
| DOI: | 10.1007/s11748-003-0009-4 |
| Popis: | A 6-year-old boy presented with diffuse stenosis of the aortic arch. He had undergone patch augmentation for localized supravalvular aortic stenosis at 2 years of age. Before the initial operation, the aortic arch and descending aorta were noticed to be hypoplastic with a diameter of 60 to 73% of that of the aortic annulus, without a pressure gradient. 4 years later, progressive diffuse stenosis of the aortic arch with a diameter of 42% of that of the aortic annulus was found. Reoperation, consisting of patch augmentation of the aortic arch, was carried out. A pressure gradient of 40 mmHg distal to the repair was newly recognized, again. This is a rare case of supravalvular aortic stenosis, which required reoperation because of the progression of diffuse stenosis of the distal aorta. |
| Databáze: | OpenAIRE |
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