Aortoventriculoplasty for Tunnel Subaortic Stenosis and Other Obstructions of the Left Ventricular Outflow Tract: Clinical and Hemodynamic Results

@article{Bjrnstad1979AortoventriculoplastyFT,
  title={Aortoventriculoplasty for Tunnel Subaortic Stenosis and Other Obstructions of the Left Ventricular Outflow Tract: Clinical and Hemodynamic Results},
  author={Per G. Bj{\o}rnstad and H. Rastan and J Keutel and Alois J. Beuren and Josef Koncz},
  journal={Circulation},
  year={1979},
  volume={60},
  pages={59–69}
}
A new therapeutic concept of enlarging the outflow tracts of both ventricles with a patch and inserting an aortic prosthesis has been developed for the treatment of tunnel subaortic stenosis. This operation has been applied clinically since June 1974 on several types of obstruction in the outflow tract of the left ventricle.Twenty-one operations have been performed on 20 patients under the age of 18 years, with an overall mortality of 24% and no late deaths. Seven patients developed complete… 
27 Citations
Homograft replacement of aortic root with reimplantation of coronary arteries. Results after one to five years.
TLDR
This operation provides an alternative technique for the management of diffuse left ventricular outflow tract obstruction and related problems in young patients and by eliminating the problems of aortic regurgitation it is anticipated that this may represent an advance in treatment.
Aortoseptal approach for optimal resection of diffuse subvalvular aortic stenosis.
Prosthetic creation of a double outlet left ventricle: Clinical experience of five cases
TLDR
Five clinical cases were treated with the implantation of an apical-aortic conduit and one late mortality was observed for cerebral bleeding and the surviving patients have been restudied with satisfactory data.
Haemodynamic and echocardiographic findings after aortoventriculoplasty.
TLDR
The authors' recatheterization studies after AVP revealed equally good haemodynamic results in all types of left ventricular outflow tract obstruction which cannot be relieved by conventional surgery.
Dupla ampliação anterior e posterior do anel aórtico para substituição valvar
OBJECTIVES: To present a technique for anterior and posterior enlargement of the aortic anulus using individual patches and results in 26 patients. METHOD: Aortic valve surgery is performed with
...
1
2
3
...

References

SHOWING 1-10 OF 19 REFERENCES
Tunnel Subaortic Stenosis: Left Ventricular Outflow Tract Obstruction Produced by Fibromuscular Tubular Narrowing
TLDR
Because of the apparent ineffectiveness of current operative methods in patients with tunnel subaortic stenosis, it is important to differentiate this condition from obstructions to left ventricular outflow.
An operation for relief of severe left ventricular outflow tract obstruction.
Clinical Experience With the Use of a Valve‐Bearing Conduit to Construct a Second Left Ventricular Outflow Tract In Cases of Unresectable Intra‐Ventricular Obstruction
Two patients, ages 7 and 17, with unresectable obstructions within the left ventricular cavity, have been managed by interposing a conduit bearing a porcine aortic valve between the apex of the left
Left ventricular and biventricular extracardiac conduits.
  • D. McGoon
  • Medicine, Biology
    The Journal of thoracic and cardiovascular surgery
  • 1976
The Surgical Relief of Aortic Stenosis by Means of Apical—Aortic Valvular Anastomosis
TLDR
In dogs so treated the ascending arch of the aorta may be totally and permanently occluded without apparent impairment of the circulation and postoperatively these dogs run, jump and swim and are not readily distinguishable from normal dogs.
Narrow aortic root complicating aortic valve replacement.
TLDR
In the past four years, the authors have encountered the association of aortic valve disease and significantly small aorta root in 11 patients, requiring aortsic valve replacement, and the review of the records forms the basis for this report.
...
1
2
...