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Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis

This study aimed to assess the early and mid-term results of the modified Doty’s technique compared with the traditional Doty’s technique in patients with congenital supravalvular aortic stenosis (SVAS). We retrospectively included 73 consecutive SVAS patients in Beijing and Yunnan Fuwai Hospitals b...

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Autores principales: Lv, Lizhi, Lang, Xinyue, Zhang, Simeng, Wang, Cheng, Jin, Yuanhao, Wang, Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002542/
https://www.ncbi.nlm.nih.gov/pubmed/36902518
http://dx.doi.org/10.3390/jcm12051731
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author Lv, Lizhi
Lang, Xinyue
Zhang, Simeng
Wang, Cheng
Jin, Yuanhao
Wang, Qiang
author_facet Lv, Lizhi
Lang, Xinyue
Zhang, Simeng
Wang, Cheng
Jin, Yuanhao
Wang, Qiang
author_sort Lv, Lizhi
collection PubMed
description This study aimed to assess the early and mid-term results of the modified Doty’s technique compared with the traditional Doty’s technique in patients with congenital supravalvular aortic stenosis (SVAS). We retrospectively included 73 consecutive SVAS patients in Beijing and Yunnan Fuwai Hospitals between 2014 and 2021. Patients were divided into the modified technique (n = 9) and the traditional technique group (n = 64). The modified technique involves altering the right head of the symmetrical inverted pantaloon-shaped patch into an asymmetrical triangular form to prevent compression of the right coronary artery ostium. The primary safety outcome was in-hospital surgery-related complications and the primary effectiveness outcome was re-operation at follow-up. The Mann–Whitney U test and Fisher’s exact test were used to test the group difference. The median age at operation was 50 months (IQR 27.0–96.0). Twenty-two (30.1%) of the patients were female. The median follow-up was 23.5 months (IQR 3.0–46.0). No in-hospital surgery-related complications and follow-up re-operation occurred in the modified technique group, but the traditional technique group had 14 (21.8%) surgery-related complications and 5 (7.9%) re-operation. Patients with the modified technique had a well-developed aortic root and no aortic regurgitation occurred. A modified technique could be considered for patients with poor aortic root development to reduce postoperative surgery-related complications.
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spelling pubmed-100025422023-03-11 Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis Lv, Lizhi Lang, Xinyue Zhang, Simeng Wang, Cheng Jin, Yuanhao Wang, Qiang J Clin Med Article This study aimed to assess the early and mid-term results of the modified Doty’s technique compared with the traditional Doty’s technique in patients with congenital supravalvular aortic stenosis (SVAS). We retrospectively included 73 consecutive SVAS patients in Beijing and Yunnan Fuwai Hospitals between 2014 and 2021. Patients were divided into the modified technique (n = 9) and the traditional technique group (n = 64). The modified technique involves altering the right head of the symmetrical inverted pantaloon-shaped patch into an asymmetrical triangular form to prevent compression of the right coronary artery ostium. The primary safety outcome was in-hospital surgery-related complications and the primary effectiveness outcome was re-operation at follow-up. The Mann–Whitney U test and Fisher’s exact test were used to test the group difference. The median age at operation was 50 months (IQR 27.0–96.0). Twenty-two (30.1%) of the patients were female. The median follow-up was 23.5 months (IQR 3.0–46.0). No in-hospital surgery-related complications and follow-up re-operation occurred in the modified technique group, but the traditional technique group had 14 (21.8%) surgery-related complications and 5 (7.9%) re-operation. Patients with the modified technique had a well-developed aortic root and no aortic regurgitation occurred. A modified technique could be considered for patients with poor aortic root development to reduce postoperative surgery-related complications. MDPI 2023-02-21 /pmc/articles/PMC10002542/ /pubmed/36902518 http://dx.doi.org/10.3390/jcm12051731 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lv, Lizhi
Lang, Xinyue
Zhang, Simeng
Wang, Cheng
Jin, Yuanhao
Wang, Qiang
Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis
title Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis
title_full Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis
title_fullStr Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis
title_full_unstemmed Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis
title_short Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis
title_sort clinical results of a modified doty’s technique for supravalvular aortic stenosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10002542/
https://www.ncbi.nlm.nih.gov/pubmed/36902518
http://dx.doi.org/10.3390/jcm12051731
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