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Ann Thorac Surg 1993;55:764-766
© 1993 The Society of Thoracic Surgeons
Department of Cardiac Surgery, Marie Lannelongue Hospital and Paris-Sud University, Paris, France
Accepted for publication May 21, 1992.
* Address reprint requests to Dr Macé, Département de Chirurgie Cardiaque, Hôpital Marie Lannelongue, 133, avenue de la Résistance, 92350 Le Plessis Robinson, France.
In infants, the management of severe tunnel subvalvular aortic stenosis associated with hypoplastic aortic annulus remains a major surgical challenge. We report a case of such lesion treated by rerouting the systemic blood flow through a created subpulmonary ventricular septal defect toward the right ventricular outflow tract and the pulmonary valve. This technique provided complete relief of the left ventricular outflow tract obstruction without the implantation of a systemic prosthetic valve.
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