Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-24T07:49:49.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of Doty and McGoon techniques for surgical reconstruction of congenital supravalvular aortic stenosis

Part of: Surgery

Published online by Cambridge University Press:  08 November 2021

Mehmet Biçer Open the ORCID record for Mehmet Biçer [Opens in a new window] ,
Mehmet Dedemoğlu ,
Oktay Korun ,
Hüsnü F. Altın Open the ORCID record for Hüsnü F. Altın [Opens in a new window] ,
Okan Yurdakök ,
Murat Çiçek ,
Fatih Özdemir ,
Arif Selçuk Open the ORCID record for Arif Selçuk [Opens in a new window] ,
Yasemin Altuntaş  and
Ilker K. Yücel
...Show all authors
Mehmet Biçer*
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey
Mehmet Dedemoğlu
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey
Oktay Korun
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Hüsnü F. Altın
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Okan Yurdakök
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Murat Çiçek
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Fatih Özdemir
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey
Arif Selçuk
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Yasemin Altuntaş
Affiliation:
Anesthesia and Reanimation Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Ilker K. Yücel
Affiliation:
Pediatric Cardiology, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Ahmet Şaşmazel
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Numan A. Aydemir
Affiliation:
Pediatric Cardiovascular Surgery Department, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
*
Author for correspondence: M. Biçer, MD, T.C. Sağlık Bilimleri Üniversitesi Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi Cevizli, Kartal İstanbul, Turkey. Tel: (+90)532-695-3238. Fax: (+90)212-311-3410. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

We aimed to compare the results of two surgical methods for the treatment of congenital supravalvular aortic stenosis.

Methods:

From May 2004 to January 2020, 29 patients underwent surgical repair for supravalvular aportic stenosis in a single centre. The perioperative evaluation of the patients was retrospectively reviewed.

Results:

Fifteen (51.7%) and 14 (48.2%) patients were treated with the Doty and the McGoon methods, respectively. The median age of our cohort was 4.5 (3.0–9.9) years. Ten (34.5%) patients had Williams–Beuren syndrome, and pulmonary stenosis was observed in 12 (41.3%) patients. The median follow-up time was 2.5 (0.7–7.3) years. On follow-up, five patients had residual stenosis with the McGoon technique and one with the Doty technique (p = 0.05). One patient died early in the post-operative period in the Doty group, and three patients were re-operated on due to restenosis in the McGoon group. Freedom from re-operation in the Doty group at 1, 3, 5, and 10 years was 100%. In the McGoon group, freedom from re-operation rates at the 1-, 3-, and 7-year follow-up were 100, 88.9, and 44.4%, respectively (p = 0.08).

Conclusion:

Our results with both surgical techniques suggest that supravalvular aortic stenosis can be treated with good results. The Doty method provided better relief for the supravalvular aortic segment, considering the residual stenosis and the re-operation rates.

Keywords

Supravalvular aortic stenosiscongenital cardiac surgeryWilliams–Beuren syndromeoutcomesDoty techniqueMcGoon technique
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 9 , September 2022 , pp. 1483 - 1490
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Mehmet Biçer, Mehmet Dedemoğlu, and Fatih Özdemir these authors of the second institution during manuscript preparation process.

References

Fricke, TA, d’Udekem, Y, Brizard, CP, et al. Surgical repair of supravalvular aortic stenosis in children with Williams syndrome: a 30-year experience. Ann Thorac Surg 2015; 99: 1335–1341.CrossRefGoogle ScholarPubMed
Cha, SG, Song, MK, Lee, SY, et al. Long-term cardiovascular outcome of Williams syndrome. Congenit Heart Dis 2019; 14: 684–690.CrossRefGoogle ScholarPubMed
Mongé, MC, Eltayeb, OM, Costello, JM, et al. Brom aortoplasty for supravalvular aortic stenosis. World J Pediatr Congenit Heart Surg 2018; 9: 139–146.Google ScholarPubMed
Mitchell, MB, Goldberg, SP. Supravalvar aortic stenosis in infancy. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2011; 14: 85–91.CrossRefGoogle ScholarPubMed
Padalino, MA, Frigo, AC, Comisso, M, et al. Early and late outcomes after surgical repair of congenital supravalvular aortic stenosis: a European Congenital Heart Surgeons Association multicentric study. Ann Thorac Surg 2012; 94: 854–859.Google Scholar
Imamura, M, Prodhan, P, Dossey, AM, et al. Reoperation after supravalvular aortic stenosis repair. Ann Thorac Surg 2010; 90: 2016–2022.CrossRefGoogle ScholarPubMed
Liu, H, Gao, B, Sun, Q, et al. Surgical strategies and outcomes of congenital supravalvular aortic stenosis. J Card Surg 2017; 32: 652–658.CrossRefGoogle ScholarPubMed
Deo, SV, Burkhart, HM, Dearani, JA, et al. Supravalvar aortic stenosis: current surgical approaches and outcomes. Expert Rev Cardiovasc Ther 2013; 11: 879–890.CrossRefGoogle ScholarPubMed
Deo, SV, Burkhart, HM, Schaff, HV, et al. Late outcomes for surgical repair of supravalvar aortic stenosis. Ann Thorac Surg 2012; 94: 854–859.CrossRefGoogle ScholarPubMed
Wu, F-Y, Mondal, A, del Nido, PJ, et al. Long-term surgical prognosis of primary supravalvular aortic stenosis repair. Ann Thorac Surg 2019; 108: 1202–1209.CrossRefGoogle ScholarPubMed
Bakhtiary, F, Amer, M, Etz, CD, et al. Mid-term outcome after surgical repair of congenital supravalvular aortic stenosis by extended aortoplasty. Interact Cardiovasc Thorac Surg 2013; 17: 688–690.CrossRefGoogle ScholarPubMed
Roemers, R, Kluin, J, de Heer, F, et al. Surgical correction of supravalvar aortic stenosis: 52 years’ experience. World J Pediatr Congenit Heart Surg 2018; 9: 131–138.CrossRefGoogle ScholarPubMed
Ibarra, C, Spigel, Z, John, R, et al. Surgical techniques in management of supravalvular aortic stenosis in children. Ann Thorac Surg 2021; 111: 2021–2027.CrossRefGoogle ScholarPubMed
Kaushal, S, Backer, CL, Patel, S, et al. Midterm outcomes in supravalvular aortic stenosis demonstrate the superiority of multisinus aortoplasty. Ann Thorac Surg 2010; 89: 1371–1377.CrossRefGoogle ScholarPubMed
Kramer, P, Absi, D, Hetzer, R, et al. Outcome of surgical correction of congenital supravalvular aortic stenosis with two- and three-sinus reconstruction techniques. Ann Thorac Surg 2014; 97: 634–640.CrossRefGoogle ScholarPubMed