Autologous repair of supravalvar pulmonic stenosis.
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.
Bacha
Emile A
EA
Section of Cardiothoracic Surgery, Pediatric and Congenital Cardiac Surgery, The University of Chicago Children's Hospital, Chicago, Illinois, USA. ebacha@surgery.bsd.uchicago.edu
Kalimi
Robert
R
Starr
Joanne P
JP
Quinones
Jose
J
Koenig
Peter
P
D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic / Q000151:congenital / Q000601:surgery; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D011183:Postoperative Complications / Q000601:surgery; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D011664:Pulmonary Valve / Q000601:surgery; D011666:Pulmonary Valve Stenosis / Q000151:congenital / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques