Supravalvular Aortic Stenosis Combined with Right Coronary Artery Ostial Obstruction

2000 ◽  
Vol 30 (4) ◽  
pp. 502
Author(s):  
Sang Hyun Lim ◽  
Chong Jin Kim ◽  
Hee Yeol Kim ◽  
Seung Won Jin ◽  
Hui Kyung Chun ◽  
...  
2019 ◽  
Vol 47 (11) ◽  
pp. 5702-5710
Author(s):  
Bo Peng ◽  
Qiang Wang

Objective This study was performed to identify the effects of different surgical approaches on the right coronary artery ostium in patients with congenital supravalvular aortic stenosis (SVAS) and to determine how to avoid surgically induced right coronary artery occlusion. Methods The surgical techniques and outcomes of 91 patients who underwent surgical treatment of SVAS from 2008 to 2015 in our institution were retrospectively reviewed to identify the causes of early death, reoperation, and extracorporeal membrane oxygenation (ECMO) support. Results Four perioperative deaths (Doty’s technique, n = 4), six cases of ECMO support (Doty’s technique, n = 4; Brom’s technique, n = 1; McGoon’s technique, n = 1), and eight reoperations (Doty’s technique, n = 5; Brom’s technique, n = 2; McGoon’s technique, n = 1) occurred. In cases of reoperation, adjustment of the shape and position of the right coronary sinus patch relieved the malignant arrhythmia. Conclusion Different surgical techniques have different effects on the right coronary artery. The shape of the patch inserted into the right coronary sinus should be carefully clipped to avoid distortion and ischemia of the right coronary artery.


Author(s):  
Yunfei Ling ◽  
Song Jiayi ◽  
Tiange Li ◽  
Ke Lin

We reported a case of a 3-month-old infant presented with supravalvular aortic stenosis with congenital right coronary artery deficiency. According to cardiovascular CT results, Doty technique was adopted to restore the aortic root geometry under cardiopulmonary bypass. An angioplasty was performed to establish right coronary blood flow at the same time. The patient had no abnormal cardiac symptoms after surgery.


2010 ◽  
Vol 89 (3) ◽  
pp. 961-963 ◽  
Author(s):  
Hiroyuki Nishi ◽  
Masataka Mitsuno ◽  
Hiroe Tanaka ◽  
Masaaki Ryomoto ◽  
Shinya Fukui ◽  
...  

2013 ◽  
Vol 96 (2) ◽  
pp. e43-e45 ◽  
Author(s):  
Ning Kang ◽  
Swee-Yaw Tan ◽  
Zee-Pin Ding ◽  
Yeow-Leng Chua

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