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): Pascal R. Vouhé Jean-Yves Neveux Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Vouhé, P. R. Articles by Neveux, J.-Y. Search for Related Content PubMed PubMed Citation Articles by Vouhé, P. R. Articles by Neveux, J.-Y.

Ann Thorac Surg 1991;52:654-661
© 1991 The Society of Thoracic Surgeons

---

Articles

Surgical management of diffuse subaortic stenosis: An integrated approach

Service de Chirurgie Cardiovasculaire et Thoracique, Hôpital Laënnec, Paris, France

Accepted for publication May 10, 1991.

^_* Address reprint requests to Dr Vouhé, Service de Chirurgie Cardiaque, Hôpital Laënnec, 42, rue de Sèvres, 75340 Paris Cedex 07, France.

An integrated approach to the surgical management of diffuse subaortic stenosis has been designed to provide adequate relief of left ventricular outflow tract obstruction whatever the anatomical features encountered at operation. This approach was used in 22 patients with tunnel subaortic stenosis (19 patients) or diffuse hypertrophic obstructive cardiomyopathy (3 patients). The obstructive tissue was resected through an aortoseptal approach. In 18 patients, associated hypoplasia of the aortic orifice necessitated aortic valve replacement using the Konno procedure; in 4 patients with a normal-sized aortic orifice, the native aortic valve was preserved. There were two early deaths and one late death (all after a Konno operation). Long-term adequate relief of left ventricular outflow tract obstruction was achieved in all survivors. Operation for diffuse subaortic stenosis should be performed with two main goals: (1) to obtain complete relief of the left ventricular outflow tract obstruction by the appropriate procedure and (2) to preserve the native aortic valve whenever possible, particularly in young patients.

This article has been cited by other articles:

				C. J. Jou, S. P. Etheridge, L. L. Minich, E. V. Saarel, L. M. Lambert, P. C. Kouretas, R. Holubkov, and J. A. Hawkins Long-term Outcome and Risk of Heart Block After Surgical Treatment of Subaortic Stenosis World Journal for Pediatric and Congenital Heart Surgery, April 1, 2010; 1(1): 15 - 19. [Abstract] [Full Text] [PDF]

				M. B. Tabatabaie, A. A. Ghavidel, M. A. Yousefnia, S. Hoseini, S. H. Javadpour, and K. Raesi Classic Konno-Rastan Procedure: Indications and Results in the Current Era Asian Cardiovascular and Thoracic Annals, October 1, 2006; 14(5): 377 - 381. [Abstract] [Full Text] [PDF]

				H. Uemura, S. Y. Ho, R. H. Anderson, and T. Yagihara Ventricular morphology and coronary arterial anatomy in hearts with isomeric atrial appendages Ann. Thorac. Surg., May 1, 1999; 67(5): 1403 - 1411. [Abstract] [Full Text] [PDF]

				J.R. Bockoven, G. Wernovsky, V. L. Vetter, T. S. Wieand, T. L. Spray, and L. A. Rhodes Perioperative conduction and rhythm disturbances after the Ross procedure in young patients Ann. Thorac. Surg., October 1, 1998; 66(4): 1383 - 1388. [Abstract] [Full Text] [PDF]

				H. Matsuda, F. Nomura, K. Kadoba, K. Taniguchi, H. Imagawa, K. Kagisaki, and T. Sano TRANSATRIAL AND TRANSMITRAL APPROACH FOR LEFT VENTRICULAR MYECTOMY AND MITRAL VALVE PLICATION FOR DIFFUSE-TYPE HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY: A NOVEL APPROACH J. Thorac. Cardiovasc. Surg., July 1, 1996; 112(1): 195 - 196. [Full Text]

				L. Mace, P. Dervanian, J. Losay, and J. Y. Neveux Ventricular septal defect creation for relief of tunnel subvalvular aortic stenosis Ann. Thorac. Surg., March 1, 1993; 55(3): 764 - 766. [Abstract] [PDF]