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Ann Thorac Surg 1990;50:467-468
© 1990 The Society of Thoracic Surgeons

Articles

Tubular supravalvar aortic stenosis: Replacement of ascending aorta in a young patient

G. Gargiulo, MD*, L. Zannini, MD, A. Ghiselli, MD, D. Pagano, MD, G. Frascaroli, MD, A. Pierangeli, MD

Departments of Cardiovascular Surgery and Anesthesiology, University of Bologna, Italy

Accepted for publication March 20, 1990.

* Address reprint requests to Dr Gargiulo, Divisione di Cardiochirurgia, Policlinico S. Orsola, Via Massarenti 9, 40138 Bologna, Italy.

The diffuse form of supravalvar aortic stenosis represents a surgical challenge when ascending aorta and proximal aortic arch are involved. We describe a technique performed on a 14-year-old patient with normal aortic annulus and severe diffuse supravalvar aortic stenosis in which the replacement of ascending aorta and proximal aortic arch with a tubular prosthetic graft completely relieved the obstruction as confirmed by cardiac catheterization.






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