Acquired supravalvar aortic stenosis following heart transplantation: Report of 2 cases

Alan G. Rose, Soon J. Park, Sara J. Shumway, David Norton, Leslie W. Miller

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

We report 2 cases of acquired supravalvar aortic stenosis (SVAS) complicating orthotopic cardiac transplantation that contributed to the post-operative death of both patients. In the first patient the stenosis resulted from kinking of a too-long graft aortic component that was rendered into a fixed deformity by healed mediastinitis and constrictive pericarditis. Supra-aortic stenosis in the second patient occurred at a site of multiple aortic cannulations that was surrounded by dense fibrosis. Acquired SVAS contributed to the death of the first patient (who had graft arteriopathy) and was the proximate cause of death in the second patient. Specific echocardiography of the ascending aorta, which is not routinely performed, may detect SAVS.

Original languageEnglish (US)
Pages (from-to)499-502
Number of pages4
JournalJournal of Heart and Lung Transplantation
Volume21
Issue number4
DOIs
StatePublished - Apr 3 2002

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation

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