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(Circulation. 1965;31:I-36.)
© 1965 American Heart Association, Inc.

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Surgical Considerations in the Management of Supravalvular Aortic Stenosis

HARRIS B. SHUMACKER JR. M.D.¹ ISIDORE MANDELBAUM M.D.¹

¹ From the Department of Surgery and the Heart Research Center, Indiana University Medical Center, Indianapolis, Indiana.

Nine cases of surgically treated supravalvular aortic stenosis have been presented. The pertinent literature has been reviewed. It is concluded that this anomaly can be managed satisfactorily by insertion of a large patch graft into an aortic incision placed across the stenotic area and extended well beyond it in both directions. Total cardiopulmonary bypass is utilized. Left ventricular decompression and coronary arterial perfusion are valuable adjuvants. The risk of operation appears to be small and the results rewarding.