Surgical treatment of recurrent subvalvular discrete membrane and left ventricular outflow tract stenosis in an adult patient with a history of congenital cardiac surgery

Author:

Kahraman Nail1ORCID,Topal Dursun2,Coşkun Gültekin1,Tiryakioğlu Selma Kenar2,Topal Serra3,Altunal Ayşe Merve1,Binicier Nöfel Ahmet1,Demir Deniz1

Affiliation:

1. Department of Cardiovasculary Surgery Bursa City Hospital University of Health Sciences Bursa Turkey

2. Department of Cardiology Bursa City Hospital University of Health Sciences Bursa Turkey

3. Department of Anesthesiology and Reanimation Bursa City Hospital University of Health Sciences Bursa Turkey

Abstract

AbstractLeft ventricular outflow stenosis can develop at the supravalvular, valvular, and subvalvular levels. Resection of strictures at the diffuse subvalvular level is very difficult. In such pathologies, Konno‐Rastan procedure provides very successful solutions as an anterior aortoventriculoplasty method. In this article, we performed anterior aortaventriculoplasty surgical treatment for tunnel type left ventricular outflow tract stenosis, recurrent subvalvular discrete membrane, and aortic regurgitation in an adult patient with a history of partial atrioventricular septal defect repair and subvalvular discrete membrane resection operation in early childhood. The Konno‐Rastan procedure, which we applied to the redo case, which is rarely used in adult patients and rarely seen in the literature, is shared.

Publisher

Wiley

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging

Reference10 articles.

1. Surgical Treatment of Subaortic Obstruction in Adolescent and Adults: Long-Term Follow-up

2. Aortosubpulmonary fistula after Konno‐Rastan aortoventriculoplasty;Mehta AR;CASE (Phila),2021

3. Fixed subaortic stenosis

4. Aortic root enlargement: when and how;S Massias;J Card Surg,2020

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