FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2198775229> ?p ?o ?g. }

• W2198775229 endingPage "2257" @default.
• W2198775229 startingPage "2256" @default.
• W2198775229 abstract "We read with interest the report of Delius and colleagues [1Delius R.E. Walters III, H.L. Bondarenko I. An unusual complication of three-patch repair of supravalvar aortic stenosis.Ann Thorac Surg. 2014; 98: 1449-1451Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar] describing coronary ischemia after the three-patch repair for supravalvar aortic stenosis. They encountered kinking of the origin of the left anterior descending coronary artery that was subsequently managed successfully by reimplanting the left coronary artery into the left sinus patch. The three-patch technique, originally described by Brom, is now our preferred surgical option for repair of supravalvar aortic stenosis. As with any operation on the aortic root, compromise of the coronary arteries is a risk after the three-patch repair. We have managed several patients who experienced severe right coronary ischemia secondary to a redundant right sinus patch after a Brom operation (Fig 1). A few strategically placed horizontal mattress sutures were used in each case to reduce kinking of the proximal right coronary artery, thereby restoring coronary perfusion. There was an immediate improvement in all patients in right ventricular color and contractility. This allowed us to avoid a further period of myocardial ischemia. We have used a similar technique in the setting of the arterial switch operation to reduce coronary compression by a redundant pericardial patch used for neopulmonary artery reconstruction. Coronary complications must be recognized and managed early to avoid morbidity resulting from prolonged myocardial ischemia. It is very important to constantly observe myocardial perfusion and contractility after release of the aortic cross-clamp, especially when preparing to come off cardiopulmonary bypass and soon after separating the patient from cardiopulmonary bypass. Because the right ventricle is anterior, it was a simple matter in our cases to suspect and diagnose a right coronary problem by visual assessment of the myocardium alone. In contrast, left ventricular ischemia secondary to left coronary artery kinking or compression is more difficult to diagnose and requires a high index of suspicion. Electrocardiographic and echocardiographic data should be supplemented, whenever possible, with visual inspection of left ventricular perfusion and contractility to identify left coronary artery distortion. We congratulate Delius and colleagues [1Delius R.E. Walters III, H.L. Bondarenko I. An unusual complication of three-patch repair of supravalvar aortic stenosis.Ann Thorac Surg. 2014; 98: 1449-1451Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar] on the successful outcome of their challenging case. We acknowledge the help of Rebekah Dodson for the illustrations used in this report. An Unusual Complication of Three-Patch Repair of Supravalvar Aortic StenosisThe Annals of Thoracic SurgeryVol. 98Issue 4PreviewThree-patch repair of supravalvar aortic stenosis is a widely accepted surgical approach for this congenital heart lesion. We describe an unusual complication of this approach, which resulted in ischemia in the left anterior coronary artery distribution. Subtle oversizing of the left sinus of Valsalva patch led to kinking of the origin of the left anterior descending artery; the circumflex artery was not affected. Sinus of Valsalva reconstruction and reimplantation of the left coronary button restored normal coronary perfusion. Full-Text PDF ReplyThe Annals of Thoracic SurgeryVol. 99Issue 6PreviewWe would like to thank Drs Ramakrishnan and Jonas [1] for their interesting comments about our case report [2]. It is gratifying in a schadenfreude sort of way to know that we have not been the only ones to be confronted with this issue! The authors provided a suggested solution that is also applicable to an arterial switch, and they have nicely illustrated their technique. We have also used this technique in the setting of an arterial switch, with good effect. It is useful to have both techniques available in your surgical quiver when confronted by a patient with unanticipated ischemia following sinus of Valsalva patching. Full-Text PDF" @default.
• W2198775229 created "2016-06-24" @default.
• W2198775229 creator A5021395991 @default.
• W2198775229 creator A5026642715 @default.
• W2198775229 date "2015-06-01" @default.
• W2198775229 modified "2023-09-25" @default.
• W2198775229 title "Coronary Artery Complications After Three-Patch Repair of Supravalvar Aortic Stenosis: Recognition and Management" @default.
• W2198775229 cites W1966432930 @default.
• W2198775229 doi "https://doi.org/10.1016/j.athoracsur.2015.01.057" @default.
• W2198775229 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26046901" @default.
• W2198775229 hasPublicationYear "2015" @default.
• W2198775229 type Work @default.
• W2198775229 sameAs 2198775229 @default.
• W2198775229 citedByCount "3" @default.
• W2198775229 countsByYear W21987752292015 @default.
• W2198775229 countsByYear W21987752292022 @default.
• W2198775229 countsByYear W21987752292023 @default.
• W2198775229 crossrefType "journal-article" @default.
• W2198775229 hasAuthorship W2198775229A5021395991 @default.
• W2198775229 hasAuthorship W2198775229A5026642715 @default.
• W2198775229 hasBestOaLocation W21987752291 @default.
• W2198775229 hasConcept C126322002 @default.
• W2198775229 hasConcept C141071460 @default.
• W2198775229 hasConcept C164705383 @default.
• W2198775229 hasConcept C2776820930 @default.
• W2198775229 hasConcept C2778088351 @default.
• W2198775229 hasConcept C2778742706 @default.
• W2198775229 hasConcept C2780007028 @default.
• W2198775229 hasConcept C2780231137 @default.
• W2198775229 hasConcept C3019004856 @default.
• W2198775229 hasConcept C500558357 @default.
• W2198775229 hasConcept C541997718 @default.
• W2198775229 hasConcept C71924100 @default.
• W2198775229 hasConceptScore W2198775229C126322002 @default.
• W2198775229 hasConceptScore W2198775229C141071460 @default.
• W2198775229 hasConceptScore W2198775229C164705383 @default.
• W2198775229 hasConceptScore W2198775229C2776820930 @default.
• W2198775229 hasConceptScore W2198775229C2778088351 @default.
• W2198775229 hasConceptScore W2198775229C2778742706 @default.
• W2198775229 hasConceptScore W2198775229C2780007028 @default.
• W2198775229 hasConceptScore W2198775229C2780231137 @default.
• W2198775229 hasConceptScore W2198775229C3019004856 @default.
• W2198775229 hasConceptScore W2198775229C500558357 @default.
• W2198775229 hasConceptScore W2198775229C541997718 @default.
• W2198775229 hasConceptScore W2198775229C71924100 @default.
• W2198775229 hasIssue "6" @default.
• W2198775229 hasLocation W21987752291 @default.
• W2198775229 hasLocation W21987752292 @default.
• W2198775229 hasOpenAccess W2198775229 @default.
• W2198775229 hasPrimaryLocation W21987752291 @default.
• W2198775229 hasRelatedWork W167500256 @default.
• W2198775229 hasRelatedWork W2024549923 @default.
• W2198775229 hasRelatedWork W2127565568 @default.
• W2198775229 hasRelatedWork W2235492659 @default.
• W2198775229 hasRelatedWork W2399545908 @default.
• W2198775229 hasRelatedWork W2462647614 @default.
• W2198775229 hasRelatedWork W2907724389 @default.
• W2198775229 hasRelatedWork W2953579136 @default.
• W2198775229 hasRelatedWork W3165960872 @default.
• W2198775229 hasRelatedWork W4383669989 @default.
• W2198775229 hasVolume "99" @default.
• W2198775229 isParatext "false" @default.
• W2198775229 isRetracted "false" @default.
• W2198775229 magId "2198775229" @default.
• W2198775229 workType "article" @default.