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- Title
Konno procedure for congenital aortic stenosis with a single coronary artery from the left coronary sinus.
- Authors
NIINAMI, HIROSHI; IMAI, YASUHARU; SAWATARI, KAZUO; TERADA, MASATSUGU; SHINOKA, TOSHIHARU; SUGIYAMA, YOSHITAKA; Niinami, H; Imai, Y; Sawatari, K; Terada, M; Shinoka, T; Sugiyama, Y
- Abstract
A right coronary artery originating from the left coronary sinus and traversing anteriorly is thought to be one of the contraindications for a Konno aortoventriculoplasty in congenital aortic stenosis because this procedure necessitates incision of the right ventricular outflow tract. The case of a 5-year-old girl with congenital aortic stenosis associated with a single coronary artery, successfully treated surgically by the Konno procedure and right coronary artery reimplantation, is reported. Preoperatively there was a pressure gradient between the left ventricle and the ascending aorta of 109 mmHg, which disappeared postoperatively. A postoperative angiography showed a patent right coronary artery.
- Publication
Journal of Cardiac Surgery, 1992, Vol 7, Issue 4, p351
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/j.1540-8191.1992.tb01026.x