Key Findings & Data:We present two successfully operated patients who had congenital supravalvular aortic stenosis using symmetric three-patch repair.
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Conclusion & Impact:We will discuss the decision making of surgical techniques, and its effects of postoperative course of this pathology in this case report.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Congenital supravalvular aortic stenosis · left ventricular outflow tract
Abstract
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KARAÇELİK, M., ABUD, B., KARAGÖZ, U., YOZGAT, Y., MEŞE, T., SARIOSMANOĞLU, O. N. (2016). The Brom Technique for Congenital Supravalvular Aortic Stenosis: A Report of Two Cases. Koşuyolu Heart Journal, Cilt: 19 - Sayı: 3, 195–198. https://ajindex.com/articles/101218
Brom AG. Obstruction of the left ventricular outflow tract. In: Khonsari S, (ed). Cardiac surgery: safeguards and pitfalls in operative technique, 1st ed. Rockville, MD: Aspen Publishers, 1988;276-80
Mitchell MB, Goldberg SP. Supravalvar aortic stenosis in infancy. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2011;14:85-91
Inan BK, Ucak A, Gullu AU, Temizkan V, Ugur M, Yilmaz AT. Left main coronary artery and supravalvular aortic stenosis in adult: treatment with ostial patchplasty and modified brom procedure. J Card Surg 2009;24:299-300
Metton O, Ali WB, Calvaruso D, Bonnet D, Sidi D, Raisky O, et al. Surgical management of supravalvular aortic stenosis: does brom three-patch technique provide superior results? Ann Thorac Surg 2009;88:588-93
Imamura M, Prodhan P, Dossey AM, Jaquiss RDB. Reoperation after supravalvar aortic stenosis repair. Ann Thorac Surg 2010;90:2016-22
Greutmann M, Tobler D, Sharma NC, Muhll IV, Mebus S, Kaennerer H, et al. Cardiac outcomes in adults with supravalvar aortic stenosis. Eur Heart J 2012;33:2442-50
Hazekamp MG, Kappetein AP, Schoof PH, Ottenkamp J, Witsenburg M, Huymans HA, et al. Brom’s three-patch repair technique for repair of supravalvular aortic stenosis. J Thorac Cardiovasc Surg 1999;118:252-8
Kaushal S, Backer CL, Patel S, Gossett JG, Mavroudis C. Midterm outcomes in supravalvular aortic stenosis demonstrate the superiority of multisinus aortoplasty. Ann Thorac Surg 2010;89:1371-7
Deo SV, Burkhart HM, Schaff HV, Li Z, Stensrud PE, Olson TM, et al. Late outcomes for surgical repair of supravalvar aortic stenosis. Ann Thorac Surg 2012;94:854-9
Dağlar B, Kırali K, Yakut N, Tuncer A, Balkanay M, İpek G, et al. The surgical repair of congenital supravalvar aortic stenosis by single sinus aortoplasty technique: mid-long term results. Turk Gogus Kalp Dama 1999;7:223-8
Bostan ÖM, Çil E. Evaluation of nine cases of supravalvular aortic stenosis. Türk Kardiyol Dern Arş 2000;28:752-6
Ozergin U, Sunam GS, Yeniterzi M, Yüksek T, Solak T, Solak H. Supravalvular aortic Stenosis without Williams syndrome. Thorac cardiovasc Surg 1996;44:219-21
Mitchell MB, Goldberg SP. Brom repair for supravalvar aortic stenosis. operative techniques in thoracic and cardiovascular surgery 2011;16:70-84
Hickey EJ, Jung G, Williams WG, Manlhiot C, Van Arsdell GS, Caldarone CA, et al. Congenital supravalvular aortic stenosis: defining surgical and nonsurgical outcomes. Ann Thorac Surg 20