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Ann Thorac Surg 1999;67:1147-1148
© 1999 The Society of Thoracic Surgeons

Case Reports

Surgical angioplasty of left main coronary stenosis complicating supravalvular aortic stenosis

Hankei Shin, MDa, Toshiyuki Katogi, MDa, Ryohei Yozu, MDa, Shiaki Kawada, MDa

a Division of Cardiovascular Surgery,Keio University, Tokyo, Japan

Accepted for publication September 8, 1998.

Address reprint requests to Dr Shin, Division of Cardiovascular Surgery, Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan

We successfully treated obstruction of the main coronary artery, not aortic valve leaflet adhesion to the intimal shelf, complicating supravalvular aortic stenosis by modifying the Brom aortoplasty. An autologous pericardial patch was used to enlarge the left main coronary artery as well as the stenotic aorta. This modification allows simple and effective restoration of coronary blood flow, while maintaining the Brom procedure’s merit of achieving anatomic geometry of the aortic root in such patients.




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