Successful repair of supravalvular aortic stenosis with ostial stenosis of the left coronary artery using Brom's three patch technique.

Abstract

Stenotic lesion of the left coronary artery is an unnoticed but complicating feature of supravalvular aortic stenosis (SAS). We present successful repair of SAS with left coronary ostial stenosis. A 9-year-old girl was diagnosed as Williams syndrome associated with SAS. She had no symptoms of angina but cardiac catheterization revealed severe stenosis of the left coronary artery ostium. We adopted Brom's three patch technique, which could enlarge the aortic root and ostial lesion of left coronary artery inclusively. This method is also ideal regarding restoration of the aortic root geometry.

• Authors: Jinichi Iwase, Kazuyoshi Tajima, Akinori Io, Song Minho, Wataru Katou, Keisuke Tanaka
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 51 Issue 11 Pg. 612-5 (Nov 2003) ISSN: 1344-4964 [Print] Japan
• PMID: 14650592 (Publication Type: Case Reports, Journal Article)

Topics

• Aortic Stenosis, Subvalvular (surgery)
• Cardiovascular Surgical Procedures (methods)
• Child
• Coronary Stenosis (surgery)
• Female
• Humans