Abstract
A few patients with aortic stenosis cannot be managed successfully by conventional techniques. Included in this group are those with fibrous tunnel obstruction of the left ventricular outflow tract, hypoplasia of the aortic annulus, and tubular hypoplasia of the ascending aorta. Patients with recurrent aortic valvar stenosis, after prior attempts at aortic root repair or valvotomy, may also be considered for radical outflow tract reconstruction, especially if infection has contributed to the failure of the previous procedure. Angina pectoris, syncope, easy fatigability, and dyspnea on exertion are all said to be common symptoms; yet many patients are asymptomatic. Whether symptoms are impressive or not, left heart failure and sudden death may occur unless appropriate relief of the obstruction is achieved.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Carrel A: Experimental surgery of the aorta and heart. Ann Surg52: 83, 1910.
Cooley DA, Norman JC, Mullins CE, Randall C: Left ventricle to abdominal aortic conduit for relief of aortic stenosis. Cardiovasc Dis Bull Texas Heart2: 376, 1975.
Cooley DA, Norman JC, Reul GJ, et al: Surgical treatment of left ventricular outflow tract obstruction with apico-aortic valved conduit. Surgery80: 674, 1976.
Norman JC, Nihill MR, Cooley DA: Valved apico-aortic composite conduits for left ventricular outflow tract obstructions: A four year experience with 27 patients. Am J Cardiol45: 265, 1980.
Cooley DA, Norman JC: Severe intravascular hemolysis after aortic valve replacement: Reversal by left ventricular apico-abdominal composite conduit. J Thoracic Cardiovasc Surg74: 322, 1977.
Cooley DA, Norman JC: Apical left ventricular abdominal aortic composite conduits for left ventricular outflow obstructions. Cardiovasc Dis Bull Texas Heart Inst5: 112, 1978.
Nihill MR, Cooley DA, Norman JC, et al: Hemodynamic observations in patients with left ventricle to aorta conduit. Am J Cardiol45: 573, 1980.
Rocchini AP, Brown J, Crowley DC, et al: Clinical and hemodynamic follow-up of left ventricular to aortic conduits in patients with aortic stenosis. J Am Coll Cardiol1: 1135, 1983.
Nicks R, Cartmill T, Bernstein L: Hypoplasia of the aortic root: The problem of aortic valve replacement. Thorax25: 339, 1970.
Konno S, Imai Y, Lida Y, et al: A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thoracic Cardiovasc Surg70: 909, 1975.
Rastan H, Koncz J: Aortoventriculoplasty. J Thoracic Cardiovasc Surg71: 920, 1976.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer Science+Business Media New York
About this paper
Cite this paper
Cooley, D.A., Sweeney, M. (1986). Surgical Treatment of Complex Left Ventricular Outflow Obstruction. In: Doyle, E.F., Engle, M.A., Gersony, W.M., Rashkind, W.J., Talner, N.S. (eds) Pediatric Cardiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8598-1_172
Download citation
DOI: https://doi.org/10.1007/978-1-4613-8598-1_172
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-8600-1
Online ISBN: 978-1-4613-8598-1
eBook Packages: Springer Book Archive