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Eur J Cardiothorac Surg 2008;34:690-692. doi:10.1016/j.ejcts.2008.05.044
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Case reports

Acquired supravalvular aortic stenosis: a late complication of replacement of the ascending aorta

Andrew J. Turleya,*, John Darkb, Philip C. Adamsa

a Department of Cardiology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, United Kingdom
b Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, United Kingdom

Received 31 December 2007; received in revised form 18 May 2008; accepted 21 May 2008.

* Corresponding author.

Aortic syndromes are an increasing cause of morbidity and mortality. Ascending aortic dissection is a clinical emergency with most patients requiring open surgery to replace the ascending aorta. Detection through clinical suspicion, improved non-invasive imaging and refined surgical techniques have resulted in an improved survival rate. Acquired supravalvular aortic stenosis is an extremely rare complication of cardiac surgery. We present the case of a patient who, 15 years after undergoing elective replacement of the ascending aorta for aortic dissection, required repeat surgery for symptomatic supravalvular aortic stenosis. This case elegantly highlights the need for a detailed focused assessment in patients where the clinical presentation does not correlate with initial investigations. To our knowledge this is the first reported case of late symptomatic supravalvular aortic stenosis following replacement of the ascending aorta.

Key Words: Acute ascending aortic dissection • Acquired supravalvular aortic stenosis • Ascending aorta • Graft • Complication






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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.