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Emile A. Bacha
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Ann Thorac Surg 2004;77:734-736
© 2004 The Society of Thoracic Surgeons

How to do it

Autologous repair of supravalvar pulmonic stenosis

Emile A. Bacha, MDa*, Robert Kalimi, MDa, Joanne P. Starr, MDa, Jose Quinones, MDb, Peter Koenig, MDb

a Section of Cardiothoracic Surgery, Pediatric and Congenital Cardiac Surgery, The University of Chicago Children's Hospital, Chicago, Illinois, USA
b Section of Pediatric Cardiology, The University of Chicago Children's Hospital, Chicago, Illinois, USA

Accepted for publication April 8, 2003.

* Address reprint requests to Dr Bacha, Pediatric and Congenital Cardiac Surgery, The University of Chicago Children's Hospital, 5841 S. Maryland Ave, MC 5040, Chicago, IL 60637, USA.
e-mail: ebacha{at}surgery.bsd.uchicago.edu

Native supravalvar pulmonary stenosis is a rare anomaly, but iatrogenic supravalvar pulmonary stenosis occurs after various repairs for congenital heart disease with relative frequency. Surgical techniques such as patching carry the risk of restenosis. We describe a technique of repair using only autologous tissues that can be applied to both native and iatrogenic supravalvar pulmonary stenosis. There were no complications and no patient developed restenosis at follow-up. Autologous repair of supravalvar pulmonary stenosis is an effective technique.




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