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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10002542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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