HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Neal W. Salomon Edward B. Stinson Philip Oyer Jack G. Copeland Norman E. Shumway Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Salomon, N. W. Articles by Shumway, N. E. Search for Related Content PubMed PubMed Citation Articles by Salomon, N. W. Articles by Shumway, N. E.

Ann Thorac Surg 1978;26:452-460
© 1978 The Society of Thoracic Surgeons

---

Articles

Operative Treatment of Congenital Aortic Stenosis

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Arizona Health Sciences Center, Tucson, AZ.

^* Address reprint requests to Dr. Salomon, Department of Surgery, Room 4402, University of Arizona Health Sciences Center, 1501 N Campbell Ave, Tucson, AZ 85724.

The operative treatment of 131 patients with congenital aortic stenosis is reviewed. Of the 131 patients, 77% had left ventricular outflow tract (LVOT) obstruction at a single level and 23%, major obstruction at more than one level. There were 3 operative deaths (2.3%) and 10 late deaths (7.8%).

Twenty of the 128 discharged patients have undergone a second procedure and 6 a third procedure for recurrent or residual LVOT obstruction. The 26 reoperations included 7 aortic valve replacements, 4 left ventricular apical-abdominal aortic (LV-AA) valved conduits, and 15 extensive aortic valvotomies with or without supravalvular aortoplasty. Five of the 20 patients undergoing reoperation died; 4 of these deaths occurred in patients who had valve replacement at reoperation. The 4 who received LV-AA conduits have sustained excellent hemodynamic and clinical results with no complications.

Highly satisfactory clinical results can be obtained with minimal operative risk, regardless of the level of LVOT obstruction. Reoperation for recurrent or residual LVOT obstruction, however, is comparatively more hazardous, and alternative surgical approaches (LV-AA conduits) should be considered.

This article has been cited by other articles:

				B. Alsoufi, Z. Al-Halees, C. Manlhiot, B. W. McCrindle, M. Al-Ahmadi, A. Sallehuddin, C. C. Canver, Z. Bulbul, M. Joufan, and B. Fadel Mechanical valves versus the Ross procedure for aortic valve replacement in children: Propensity-adjusted comparison of long-term outcomes. J. Thorac. Cardiovasc. Surg., February 1, 2009; 137(2): 362 - 370.e9. [Abstract] [Full Text] [PDF]

				T. Karamlou, K. Jang, W. G. Williams, C. A. Caldarone, G. Van Arsdell, J. G. Coles, and B. W. McCrindle Outcomes and Associated Risk Factors for Aortic Valve Replacement in 160 Children: A Competing-Risks Analysis Circulation, November 29, 2005; 112(22): 3462 - 3469. [Abstract] [Full Text] [PDF]

				J. W. Brown, M. Ruzmetov, P. Vijay, M. D. Rodefeld, and M. W. Turrentine Surgery for aortic stenosis in children: a 40-year experience Ann. Thorac. Surg., November 1, 2003; 76(5): 1398 - 1411. [Abstract] [Full Text] [PDF]

				P. R. Vouhe and J.-Y. Neveux Surgical management of diffuse subaortic stenosis: An integrated approach Ann. Thorac. Surg., September 1, 1991; 52(3): 654 - 661. [Abstract] [PDF]

				S. Sabanathan, P. J. B. Smith, G. N. Pradhan, H. Hashimi, J.-B. Eng, and A. J. Mearns Continuous Intercostal Nerve Block for Pain Relief after Thoracotomy Ann. Thorac. Surg., October 1, 1988; 46(4): 425 - 426. [Abstract] [PDF]

				J. W. Hammon Jr., F. M. Lupinetti, M. D. Maples, W. H. Merrill, W. H. Frist, T. P. Graham Jr., and H. W. Bender Jr. Predictors of Operative Mortality in Critical Valvular Aortic Stenosis Presenting in Infancy Ann. Thorac. Surg., May 1, 1988; 45(5): 537 - 540. [Abstract] [PDF]

				R. G. Johnson, G. R. Williams, J. D. Razook, W. M. Thompson, M. M. Lane, and R. C. Elkins Reoperation in Congenital Aortic Stenosis Ann. Thorac. Surg., August 1, 1985; 40(2): 156 - 162. [Abstract] [PDF]

				C. Mavroudis, A. Rees, R. Solinger, and F. Elbl The Prognostic Value of Intraoperative Pressure Gradients with Congenital Aortic Stenosis Ann. Thorac. Surg., September 1, 1984; 38(3): 237 - 241. [Abstract] [PDF]