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Right arrow Congenital - acyanotic

Ann Thorac Surg 2004;77:319-321
© 2004 The Society of Thoracic Surgeons

Case report

Composite aortoplasty for recurrent coarctation after neonatal repair in Williams syndrome

Jeni L. Marks, MDa, Max B. Mitchell, MDa*, David N. Campbell, MDa, Warren H. Toews, MDb

a Department of Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
b Department of Pediatric Cardiology, Presbyterian Saint Luke’s Medical Center, Denver, Colorado, USA

Accepted for publication March 25, 2003.

* Address reprint requests to Dr Mitchell, 1056 E. 19th Ave, B200, Denver, CO 80218, USA
e-mail: mitchell.max{at}tchden.org

Supravalvar aortic stenosis is the most frequent operation required for Williams syndrome; however, coarctation repair is more common in patients requiring surgery in the first few months of life. We report on a child with Williams syndrome in whom extensive reoperation was required 5 months after neonatal aortic coarctation repair. A composite left subclavian artery flap and allograft patch aortoplasty of the aortic arch and descending aorta was performed through a left thoracotomy using cardiopulmonary bypass and circulatory arrest. Detailed anatomic evaluation of the aortic arch and descending aorta is recommended before initial coarctation repair in neonates with Williams syndrome.






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