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Diffuse Supravalvular Aortic Stenosis: Surgical Repair in Adulthood
Author(s) -
Giovanni Ferlan,
Claudio De Pasquale,
Concetta Losito,
Annalisa Fiorella,
Nicola Marraudino,
Francesco Tunzi
Publication year - 2009
Publication title -
cardiology research and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.437
H-Index - 35
eISSN - 2090-8016
pISSN - 2090-0597
DOI - 10.4061/2009/976190
Subject(s) - supravalvular aortic stenosis , medicine , ascending aorta , cardiac skeleton , stenosis , calcification , aortic valve , aorta , prosthesis , cardiology , aortic valve replacement , annulus (botany) , aortic valve stenosis , computed tomographic , surgery , computed tomography , botany , biology
We present the case of a 54-year-old woman in which a diffuse congenital supravalvular aortic stenosis (SVAS) was associated with a severe aortic valve incompetence and heavy calcification of the aortic annulus. Repair consisted in resection of the ascending aorta, patch augmentation of the hypoplastic aortic root and annulus, placement of a 20 mm Dacron tubular graft (Vascutek, Renfrewshire, UK) and aortic valve replacement with a mechanical prosthesis (Sorin, Turin, Italy). Follow-up echocardiography demonstrated normal prosthetic valve function and a postoperative three-dimensional computed tomographic scan showed a normal shape of the reconstructed ascending aorta.

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