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Ann Thorac Surg 1986;42:445-448
© 1986 The Society of Thoracic Surgeons
From the Section of Cardiovascular Surgery, Texas Heart Institute, Houston, TX
Accepted for publication January 17, 1986.
* Address reprint requests to Dr. Cooley, Texas Heart Institute, P.O. Box 20345, Houston, TX 77225
A new technique is described for relief of diffuse obstruction in the left ventricular outflow tract without aortic valve replacement. Left ventricular septoplasty was performed, preserving the aortic valve. The supravalve stenosis was repaired using a Y-shaped extension of the aortotomy proximally and a pantaloon-shaped patch of woven Dacron fabric. A 10-year-old girl with "tunnel" or diffuse stenosis obtained striking relief of left ventricular hypertension by this technique.
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