Browse > Article
http://dx.doi.org/10.5090/kjtcs.2016.49.1.115

Early Manifestation of Supravalvular Aortic and Pulmonary Artery Stenosis in a Patient with Williams Syndrome  

Lee, Jong Uk (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine)
Jang, Woo Sung (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine)
Lee, Young Ok (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine)
Cho, Joon Yong (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine)
Publication Information
Journal of Chest Surgery / v.49, no.2, 2016 , pp. 115-118 More about this Journal
Abstract
Williams syndrome (WS) is a developmental disorder characterized by vascular abnormalities such as thickening of the vascular media layer in medium- and large-sized arteries. Supravalvular aortic stenosis (SVAS) and peripheral pulmonary artery stenosis (PPAS) are common vascular abnormalities in WS. The natural course of SVAS and PPAS is variable, and the timing of surgery or intervention is determined according to the progression of vascular stenosis. In our patient, SVAS and PPAS showed rapid concurrent progression within two weeks after birth. We report the early manifestation of SVAS and PPAS in the neonatal period and describe the surgical treatment for stenosis relief.
Keywords
Congenital heart disease; Stenosis; Aorta; Pulmonary artery; Williams syndrome;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Stamm C, Friehs I, Ho SY, Moran AM, Jonas RA, del Nido PJ. Congenital supravalvar aortic stenosis: a simple lesion? Eur J Cardiothorac Surg 2001;19:195-202.   DOI
2 Kim YM, Yoo SJ, Choi JY, Kim SH, Bae EJ, Lee YT. Natural course of supravalvar aortic stenosis and peripheral pulmonary arterial stenosis in Williams' syndrome. Cardiol Young 1999;9:37-41.
3 Stamm C, Kreutzer C, Zurakowski D, Nollert G, Friehs I, Mayer JE, et al. Forty-one years of surgical experience with congenital supravalvular aortic stenosis. J Thorac Cardiovasc Surg 1999;118:874-85.   DOI
4 Kramer P, Absi D, Hetzer R, Photiadis J, Berger F, Alexi-Meskishvili V. Outcome of surgical correction of congenital supravalvular aortic stenosis with two- and three-sinus reconstruction techniques. Ann Thorac Surg 2014;97:634-40.   DOI
5 Geggel RL, Gauvreau K, Lock JE. Balloon dilation angioplasty of peripheral pulmonary stenosis associated with Williams syndrome. Circulation 2001;103:2165-70.   DOI
6 Monge MC, Mainwaring RD, Sheikh AY, Punn R, Reddy VM, Hanley FL. Surgical reconstruction of peripheral pulmonary artery stenosis in Williams and Alagille syndromes. J Thorac Cardiovasc Surg 2013;145:476-81.   DOI
7 Deo SV, Burkhart HM, Schaff HV, et al. Late outcomes for surgical repair of supravalvar aortic stenosis. Ann Thorac Surg 2012;94:854-9.   DOI
8 Albacker TB, Payne DM, Dancea A, Tchervenkov C. Management of supravalvar aortic stenosis and severely depressed left ventricular function in a neonate with Williams syndrome. Eur J Cardiothorac Surg 2009;35:915-6.   DOI