Classic Konno-Rastan Procedure: Indications and Results in the Current Era
Diffuse or unresectable subaortic stenosis is difficult to treat and needs aggressive resection to effectively relieve the obstruction. Anterior aortoventriculoplasty, known as the Konno-Rastan procedure, has been shown to effectively tackle the problems encountered in diffuse subaortic stenosis. A...
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Published in | Asian cardiovascular & thoracic annals Vol. 14; no. 5; pp. 377 - 381 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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London, England
Asian Soc Cardio Surg
01.10.2006
SAGE Publications |
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Abstract | Diffuse or unresectable subaortic stenosis is difficult to treat and needs aggressive resection to effectively relieve the obstruction. Anterior aortoventriculoplasty, known as the Konno-Rastan procedure, has been shown to effectively tackle the problems encountered in diffuse subaortic stenosis. A retrospective study was carried out on patients who had undergone a Konno-Rastan procedure at our institution from March 1997 to November 2003. There were 26 patients (16 males and 10 females). The mean age at operation was 12.8 ± 7 years. The mean follow-up period was 30.4 ± 14.5 months. Only mechanical valves were used in this group of patients. The overall 30-day mortality was 11.5% (3 patients). The mean preoperative peak systolic gradient decreased significantly from 91.3 ± 39.3 to 28.1 ± 17.7 mm Hg. Four patients developed permanent complete heart block and 2 had a residual ventricular septal defect in late follow-up. The classic Konno-Rastan procedure using a mechanical valve can be performed with acceptable morbidity and mortality in this difficult group of patients. |
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AbstractList | Diffuse or unresectable subaortic stenosis is difficult to treat and needs aggressive resection to effectively relieve the obstruction. Anterior aortoventriculoplasty, known as the Konno-Rastan procedure, has been shown to effectively tackle the problems encountered in diffuse subaortic stenosis. A retrospective study was carried out on patients who had undergone a Konno-Rastan procedure at our institution from March 1997 to November 2003. There were 26 patients (16 males and 10 females). The mean age at operation was 12.8 ± 7 years. The mean follow-up period was 30.4 ± 14.5 months. Only mechanical valves were used in this group of patients. The overall 30-day mortality was 11.5% (3 patients). The mean preoperative peak systolic gradient decreased significantly from 91.3 ± 39.3 to 28.1 ± 17.7 mm Hg. Four patients developed permanent complete heart block and 2 had a residual ventricular septal defect in late follow-up. The classic Konno-Rastan procedure using a mechanical valve can be performed with acceptable morbidity and mortality in this difficult group of patients. Diffuse or unresectable subaortic stenosis is difficult to treat and needs aggressive resection to effectively relieve the obstruction. Anterior aortoventriculoplasty, known as the Konno-Rastan procedure, has been shown to effectively tackle the problems encountered in diffuse subaortic stenosis. A retrospective study was carried out on patients who had undergone a Konno-Rastan procedure at our institution from March 1997 to November 2003. There were 26 patients (16 males and 10 females). The mean age at operation was 12.8 +/- 7 years. The mean follow-up period was 30.4 +/- 14.5 months. Only mechanical valves were used in this group of patients. The overall 30-day mortality was 11.5% (3 patients). The mean preoperative peak systolic gradient decreased significantly from 91.3 +/- 39.3 to 28.1 +/- 17.7 mm Hg. Four patients developed permanent complete heart block and 2 had a residual ventricular septal defect in late follow-up. The classic Konno-Rastan procedure using a mechanical valve can be performed with acceptable morbidity and mortality in this difficult group of patients. |
Author | Ghavidel, Alireza A Hoseini, Saeed Tabatabaie, Mohammad B Javadpour, Seyed H Yousefnia, Mohammad A Raesi, Kamal |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/17005883$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/S0003-4975(02)03595-6 10.1016/S1010-7940(98)00069-4 10.1016/S0003-4975(10)60224-X 10.1016/0003-4975(96)00270-6 10.1016/S0022-5223(19)40132-3 10.1016/S0022-5223(19)39673-4 10.1016/0003-4975(91)90970-2 10.1016/S0022-5223(96)70412-9 10.1136/hrt.43.6.629 10.1016/S1010-7940(00)00324-9 10.1016/S0003-4975(10)60556-5 10.1016/0003-4975(90)90733-M 10.1016/S0022-5223(19)37386-6 10.1016/S1010-7940(97)00221-2 |
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SubjectTerms | Adolescent Adult Aortic Stenosis, Subvalvular - surgery Cardiac Surgical Procedures - methods Child Child, Preschool Female Heart Valve Prosthesis Implantation - methods Humans Male Retrospective Studies |
Title | Classic Konno-Rastan Procedure: Indications and Results in the Current Era |
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