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Ann Thorac Surg 1982;34:698-701
© 1982 The Society of Thoracic Surgeons


Articles

Severe Supravalvular Aortic Stenosis: Successful Surgical Correction by Extended Aortoplasty

Joseph M. Graham, M.D., Gerald M. Lawrie, M.D.*, M. Eid Fawzy, M.D., Michael E. DeBakey, M.D.

From the Department of Surgery, the Baylor Heart Team, and the Department of Cardiology, Baylor College of Medicine, Houston, TX, and the King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

Accepted for publication November 11, 1981.

* Address reprint requests to Dr. Lawrie, Department of Surgery, Baylor College of Medicine, Houston, TX 77030

Surgical treatment of severe discrete supravalvular aortic stenosis by placement of a patch graft across the narrowed area of aorta at one point has been associated with a substantial incidence of residual stenosis. Successful relief of a severe stenosis was achieved by a modification of a previously reported technique in which the stenotic area is expanded at two points. Use of this technique should be considered in cases of severe discrete supravalvular aortic stenosis.




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