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

This Article 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 Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Martin, M. M. Articles by Bove, E. L. Search for Related Content PubMed PubMed Citation Articles by Martin, M. M. Articles by Bove, E. L.

The Annals of Thoracic Surgery, Vol 45, 16-20, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Obstruction to left coronary artery blood flow secondary to obliteration of the coronary ostium in supravalvular aortic stenosis

MM Martin, JH Lemmer Jr, E Shaffer, M Dick 2d and EL Bove
Department of Surgery, C. S. Mott Children's Hospital, University of Michigan, Ann Arbor.

Supravalvular aortic stenosis is characterized by obstruction of the left ventricular outflow tract distal to the aortic valve, and may result in diminished coronary artery blood flow. This report describes the cases of 2 patients in whom obstruction to left coronary artery flow was caused by obliteration of the coronary ostium itself. This mechanism differs from the more commonly recognized cause--valve leaflet adhesion to the obstructing ridge of aortic tissue. The coronary artery obstruction found in these 2 patients required direct enlargement of the left coronary ostium in both. This mechanism of impaired coronary artery flow deserves emphasis, as traditional methods of extended patch aortoplasty may fail to relieve the coronary ostial narrowing.

This article has been cited by other articles:

				J. W. Brown, M. Ruzmetov, P. Vijay, and M. W. Turrentine Surgical repair of congenital supravalvular aortic stenosis in children Eur. J. Cardiothorac. Surg., January 1, 2002; 21(1): 50 - 56. [Abstract] [Full Text] [PDF]

				C. Stamm, I. Friehs, S. Y. Ho, A. M. Moran, R. A. Jonas, and P. J. del Nido Congenital supravalvar aortic stenosis: a simple lesion? Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 195 - 202. [Abstract] [Full Text] [PDF]

				P. A. Thistlethwaite, M. M. Madani, J. M. Kriett, K. Milhoan, and S. W. Jamieson Surgical management of congenital obstruction of the left main coronary artery with supravalvular aortic stenosis J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1040 - 1046. [Abstract] [Full Text] [PDF]

				D. B. McElhinney, E. Petrossian, W. Tworetzky, N. H. Silverman, and F. L. Hanley Issues and outcomes in the management of supravalvar aortic stenosis Ann. Thorac. Surg., February 1, 2000; 69(2): 562 - 567. [Abstract] [Full Text] [PDF]

				C. Stamm, C. Kreutzer, D. Zurakowski, G. Nollert, I. Friehs, J. E. Mayer, R. A. Jonas, and P. J. del Nido FORTY-ONE YEARS OF SURGICAL EXPERIENCE WITH CONGENITAL SUPRAVALVULAR AORTIC STENOSIS J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 874 - 885. [Abstract] [Full Text] [PDF]

				C. Stamm, J. Li, S. Y. Ho, A. N. Redington, and R. H. Anderson THE AORTIC ROOT IN SUPRAVALVULAR AORTIC STENOSIS: THE POTENTIAL SURGICAL RELEVANCE OF MORPHOLOGIC FINDINGS J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 16 - 24. [Abstract] [Full Text]

				J. A. M. van Son, G. K. Danielson, F. J. Puga, H. V. Schaff, A. Rastogi, W. D. Edwards, and R. H. Feldt Supravalvular aortic stenosis: Long-term results of surgical treatment J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 103 - 115. [Abstract] [Full Text]