Sliding Aortoplasty for Severe Supravalvular Aortic Stenosis After the Lecompte Procedure

Kittaka, Emi; Yamagishi, Masaaki; Shinohara, Gen; Ando, Tatsuya; Iijima, Masatoshi; Mori, Takuma; Ishikawa, Satoshi; Kogawa, Kentaro; Ida, Hiroyuki

doi:10.1016/j.athoracsur.2020.09.085

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Kittaka et al reported a modified version of this technique for supravalvular aortic stenosis after an arterial switch operation. 13 The third benefit is that this technique can be performed in neonatal to adult-size patients, indicating that this technique has very high versatility regardless of the patient's size. Surgical procedures utilized for repairing the aortic arch are typically customized to suit specific patient groups, taking into account their individual body weight.…”

Section: Advantages Of Sliding Arch Aortoplastymentioning

confidence: 99%

“…Kittaka et al reported a modified version of this technique for supravalvular aortic stenosis after an arterial switch operation. 13…”

Section: Commentmentioning

confidence: 99%

“…Our additional cases and other reported cases from other institutions reinforce the versatility of this technique to treat interrupted aortic arch (IAA), 11,12 and reoperation cases. 13 This retrospective study aimed to report the mid-to longterm outcomes of sliding ascending arch aortoplasty for treating CoA and HAA over 20 years in our institution. reviewed.…”

Section: Introductionmentioning

confidence: 99%

“…Our additional cases and other reported cases from other institutions reinforce the versatility of this technique to treat interrupted aortic arch (IAA), 11,12 and reoperation cases. 13…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Outcomes of Ascending Sliding Arch Aortoplasty

Yoneyama,

Kalustian,

McKenzie

et al. 2024

World J Pediatr Congenit Heart Surg

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Background: Coarctation of the aorta can be associated with significant hypoplasia of the aortic arch. In contrast to patch aortoplasty, ascending sliding arch aortoplasty uses viable autologous tissue for potential growth in children. We reviewed the mid- to long-term outcomes of this technique. Methods: Between 2002 and 2023, 28 patients underwent ascending sliding arch aortoplasty for the patients with coarctation of the aorta (n = 22) and interrupted aortic arch (n = 2). Four patients underwent previous surgical coarctation repair at other institutions. The median patient age and body weight were 28.5 months (3 weeks to 15.6 years) and 13.4 kg (3.7-70 kg), respectively. Results: Although one patient had a recurrent nerve injury postoperatively, there were no other major morbidities or mortalities. The last follow-up echocardiography demonstrated that the mean peak velocity improved from 3.9 ± 0.6 to 0.9 ± 0.8 m/s, and the pressure gradient improved from 63.6 ± 21.5 to 7.1 ± 7.7 mm Hg. The postoperative diameters of the ascending aorta, proximal arch, distal arch, and isthmus all increased significantly. The mean postoperative length of stay was 5.9 ± 2.1 days, and the median follow-up time was 7.3 years (10 days to 20.5 years). No reoperation or catheterization-based intervention was performed for residual coarctation. Conclusions: Ascending sliding arch aortoplasty is safe and effective for treating coarctation of the aorta with aortic arch hypoplasia. This technique is applicable for children ranging in size from neonates to older children (or adolescents), recurrent coarctation cases, and provides complete relief of narrowing by utilizing viable native aortic tissue.

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Section: Advantages Of Sliding Arch Aortoplastymentioning

confidence: 99%

“…Kittaka et al reported a modified version of this technique for supravalvular aortic stenosis after an arterial switch operation. 13…”

Section: Commentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Our additional cases and other reported cases from other institutions reinforce the versatility of this technique to treat interrupted aortic arch (IAA), 11,12 and reoperation cases. 13…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long-Term Outcomes of Ascending Sliding Arch Aortoplasty

Yoneyama,

Kalustian,

McKenzie

et al. 2024

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

show abstract

“…Second, the lack of operator information and the differences in treatment levels among operators and cardiac centers made the results of some studies biased. Third, the included studies were all traditional three procedures and did not include the results of new and improved procedures ( 47 , 48 ), which may have biased the results to some extent. Finally, the range of the publication year of the included studies was very wide, but the analysis didn't observe heterogeneity of publication years.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Assessment of three types of surgical procedures for supravalvar aortic stenosis: A systematic review and meta-analysis

Lang

Zhang

et al. 2022

Front. Cardiovasc. Med.

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ImportanceThe safety and efficacy of different surgical repairs of supravalvar aortic stenosis (SVAS) are inconsistent.ObjectiveTo compare the prognosis of single-, two- and three-patch repair for patients with SVAS.Data sourcesPubMed, EMBASE, Cochrane Library, Web of Science, and clinicaltrials.gov were searched until April 17, 2022.Study selectionStudy reported SVAS patients treated with single-, two- or three-patch repair.Data extraction and synthesisTwo reviewers independently extracted the data of study characteristics and clinical outcomes. Multiple pairwise and frequentist network meta-analyses were conducted. And a fixed-effect model was used when no heterogeneity existed.Main outcomes and measuresOutcomes included the rate of reintervention, aortic insufficiency, early mortality and late mortality, cardiopulmonary bypass (CPB) time, cross-clamping (CCP) time, and postoperative/ follow-up pressure gradient. Binary variables were evaluated by odds ratio (OR) and its 95% confidence interval (CI), while continuous variables were assessed by standardized mean difference (SMD) and its 95% CI.ResultsTwenty-seven retrospective cohort studies were included, comprising 1,162 patients, undergoing single-patch (46.6% of cases), two-patch (33.9%), and three-patch repair (19.4%). Two-patch method had a lower rate of reintervention compared with single-patch (OR = 0.47, 95 % CI 0.28–0.89), and three-patch (OR = 0.31, 95 % CI 0.15–0.64). This finding also applied to juvenile and non-Asian patients. Three-patch method had a lower rate of aortic insufficiency compared with single-patch (OR = 0.11, 95 % CI 0.01–0.63), and two-patch (OR = 0.11, 95 % CI 0.02–0.83). But this repair had the longest CCP time, which was significantly longer than that of single- (SMD = 0.76, 95 % CI 0.36–1.17) or two-patch repair (SMD = 0.61, 95 % CI 0.06–1.16). No significant difference was found in mortality and pressure gradient among three procedures.Conclusion and relevanceTwo-patch repair has the lowest reintervention rate and relatively reasonable operation time. Complex and severe SVAS is suggested to be treated with two-patch repair. Further prospective studies of a reasonable sample size will be required with a special focus on the use of different patch materials and surgeons' unique working experience.Systematic review registrationhttp://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022328146.

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Long-Term Outcomes of Individualized Repair in Patients with Supravalvular Aortic Stenosis

Wang,

Ma,

2024

Pediatr Cardiol

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Sliding Aortoplasty for Severe Supravalvular Aortic Stenosis After the Lecompte Procedure

Cited by 3 publications

References 6 publications

Long-Term Outcomes of Ascending Sliding Arch Aortoplasty

Long-Term Outcomes of Ascending Sliding Arch Aortoplasty

Assessment of three types of surgical procedures for supravalvar aortic stenosis: A systematic review and meta-analysis

Long-Term Outcomes of Individualized Repair in Patients with Supravalvular Aortic Stenosis

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