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PMID: 29681546 Published · ppublish English Journal Article Review

EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Congenital left-sided heart obstruction.

Echo research and practice ·Vol. 5 ·No. 2 ·2018-06-00 ·Pages R23-R36

Carr M, Curtis S, Marek J

Abstract

Congenital obstruction of the left ventricular outflow tract remains a significant problem and multilevel obstruction can often coexist. Obstruction can take several morphological forms and may involve the subvalvar, valvar or supravalvar portion of the aortic valve complex. Congenital valvar stenosis presenting in the neonatal period represents a spectrum of disorders ranging from the hypoplastic left heart syndrome to almost normal hearts. Treatment options vary dependent on the severity of the left ventricular outflow tract obstruction (LVOTO) and the variable degree of left ventricular hypoplasia as well as the associated lesions such as arch hypoplasia and coarctation.

Keywords
aortic stenosis bicuspid aortic valve coarctation of the aorta congenital heart defects left ventricular outflow tract obstruction
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Carr Michelle
Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Curtis Stephanie
Bristol Heart Institute, University Hospitals Bristol, Bristol, UK.
Marek Jan
Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK. | Institute of Cardiovascular Sciences, University College London, London, UK.
References (48)
48 references, click to expand
  1. Repair of supravalvar aortic stenosis: cardiovascular morphometric and hemodynamic results.
    Ann Thorac Surg. 1990 Nov;50(5):700-7 PMID: 2241327
  2. The aortic root in supravalvular aortic stenosis: the potential surgical relevance of morphologic findings.
    J Thorac Cardiovasc Surg. 1997 Jul;114(1):16-24 PMID: 9240289
  3. Incidence of aortic complications in patients with bicuspid aortic valves.
    JAMA. 2011 Sep 14;306(10 ):1104-12 PMID: 21917581
  4. Report from the Joint Study on the Natural History of Congenital Heart Defects. IV. Clinical course. Introduction.
    Circulation. 1977 Aug;56(1 Suppl):I36-8 PMID: 872343
  5. Primary balloon dilatation of coarctation of the aorta in neonates.
    Br Heart J. 1990 Oct;64(4):277-81 PMID: 2223307
  6. Fixed subaortic stenosis: anatomical spectrum and nature of progression.
    Br Heart J. 1991 May;65(5):280-6 PMID: 2039674
  7. Cardiovascular findings, and clinical course, in patients with Williams syndrome.
    Cardiol Young. 2003 Dec;13(6):532-6 PMID: 14982294
  8. Supravalvar aortic stenosis: a 29-year review of surgical experience.
    Ann Thorac Surg. 1991 Jun;51(6):1031-9 PMID: 2039306
  9. Aortoventriculoplasty: a new technique for the treatment of left ventricular outflow tract obstruction.
    J Thorac Cardiovasc Surg. 1976 Jun;71(6):920-7 PMID: 131885
  10. Characterizing the young patient with aortic dissection: results from the International Registry of Aortic Dissection (IRAD).
    J Am Coll Cardiol. 2004 Feb 18;43(4):665-9 PMID: 14975480
  11. Influence of age on survival, late hypertension, and recoarctation in elective aortic coarctation repair. Including long-term results after elective aortic coarctation repair with a follow-up from 25 to 44 years.
    J Thorac Cardiovasc Surg. 1994 Sep;108(3):525-31 PMID: 8078345
  12. Clinical course in aortic stenosis.
    Circulation. 1977 Aug;56(1 Suppl):I47-56 PMID: 872345
  13. Discrete subaortic stenosis. Operative age and gradient as predictors of late aortic valve incompetence.
    J Thorac Cardiovasc Surg. 1993 Jul;106(1):95-104 PMID: 8321008
  14. Bicuspid aortic valve disease.
    J Am Coll Cardiol. 2010 Jun 22;55(25):2789-800 PMID: 20579534
  15. Echocardiographic evaluation of asymptomatic parental and sibling cardiovascular anomalies associated with congenital left ventricular outflow tract lesions.
    Pediatrics. 2004 Sep;114(3):691-6 PMID: 15342840
  16. Aortic root pathology and sudden death in youth: review of anatomical varieties.
    Appl Pathol. 1986;4(4):237-45 PMID: 3606885
  17. Supravalvular aortic stenosis. Long-term results of surgical treatment.
    J Thorac Cardiovasc Surg. 1994 Jan;107(1):103-14; discussion 114-5 PMID: 8283872
  18. 2017 ESC/EACTS Guidelines for the management of valvular heart disease.
    Eur Heart J. 2017 Sep 21;38(36):2739-2791 PMID: 28886619
  19. Mutations in NOTCH1 cause aortic valve disease.
    Nature. 2005 Sep 8;437(7056):270-4 PMID: 16025100
  20. Discrete membranous subaortic stenosis. Report of 31 patients, review of the literature, and delineation of management.
    Circulation. 1977 Dec;56(6):1034-8 PMID: 336239
  21. Long-term follow-up of extended aortoplasty for supravalvular aortic stenosis.
    J Thorac Cardiovasc Surg. 1995 Jan;109(1):155-62; discussion 162-3 PMID: 7815792
  22. Natural course of supravalvar aortic stenosis and peripheral pulmonary arterial stenosis in Williams' syndrome.
    Cardiol Young. 1999 Jan;9(1):37-41 PMID: 10323536
  23. Risk of recoarctation in neonates and infants after repair with patch aortoplasty, subclavian flap, and the combined resection-flap procedure.
    J Thorac Cardiovasc Surg. 1992 Apr;103(4):724-31; discussion 731-2 PMID: 1548914
  24. Major vascular anomalies in Turner syndrome: prevalence and magnetic resonance angiographic features.
    Circulation. 2004 Sep 21;110(12):1694-700 PMID: 15353492
  25. Outcomes in adults with bicuspid aortic valves.
    JAMA. 2008 Sep 17;300(11):1317-25 PMID: 18799444
  26. Issues and outcomes in the management of supravalvar aortic stenosis.
    Ann Thorac Surg. 2000 Feb;69(2):562-7 PMID: 10735699
  27. Congenital heart disease: a 10 year cohort.
    J Paediatr Child Health. 1994 Oct;30(5):414-8 PMID: 7833077
  28. Prevalence and associated risk factors for intervention in 313 children with subaortic stenosis.
    Ann Thorac Surg. 2007 Sep;84(3):900-6; discussion 906 PMID: 17720397
  29. Frequency of 22q11 deletions in patients with conotruncal defects.
    J Am Coll Cardiol. 1998 Aug;32(2):492-8 PMID: 9708481
  30. Benefits of early surgical repair in fixed subaortic stenosis.
    J Am Coll Cardiol. 1997 Dec;30(7):1835-42 PMID: 9385915
  31. Risk factors for aortic valve dysfunction in children with discrete subvalvar aortic stenosis.
    Am J Cardiol. 2004 Aug 15;94(4):459-64 PMID: 15325929
  32. Natural history of discrete subvalvar aortic stenosis: management implications.
    J Am Coll Cardiol. 2001 Sep;38(3):843-5 PMID: 11527643
  33. Coarctation of the aorta; a review of 104 autopsied cases of the adult type, 2 years of age or older.
    Am Heart J. 1947 Feb;33(2):146-68 PMID: 20283558
  34. Long-term follow-up comparing subclavian flap angioplasty to resection with modified oblique end-to-end anastomosis.
    J Thorac Cardiovasc Surg. 1991 Jan;101(1):1-13 PMID: 1986151
  35. Comparison of surgical and transcatheter treatment for native coarctation of the aorta in patients > or = 1 year old. The Quebec Native Coarctation of the Aorta study.
    Am Heart J. 2007 Jul;154(1):186-92 PMID: 17584575
  36. Aortic valvular atresia. Associated cardiovascular anomalies.
    Pediatr Cardiol. 1982;2(2):99-105 PMID: 7088729
  37. Second natural history study of congenital heart defects. Results of treatment of patients with aortic valvar stenosis.
    Circulation. 1993 Feb;87(2 Suppl):I16-27 PMID: 8425319
  38. The progression of mild congenital aortic valve stenosis from childhood into adult life.
    Int J Cardiol. 1993 Dec 31;42(3):217-23 PMID: 8138329
  39. Subvalvar aortic stenosis: timing of operation.
    Ann Thorac Surg. 1990 Jul;50(1):29-33; discussion 33-4 PMID: 2369225
  40. Fixed subaortic stenosis in the young: medical and surgical course in 83 patients.
    Am J Cardiol. 1983 Oct 1;52(7):830-5 PMID: 6684879
  41. Morphology of bicuspid aortic valve in children and adolescents.
    J Am Coll Cardiol. 2004 Oct 19;44(8):1648-51 PMID: 15489098
  42. Recurrent coarctation: is surgical repair of recurrent coarctation of the aorta safe and effective?
    Ann Thorac Surg. 2009 Dec;88(6):1923-30; discussion 1930-1 PMID: 19932264
  43. Rheologic genesis of discrete subvalvular aortic stenosis: a Doppler echocardiographic study.
    J Am Coll Cardiol. 1992 Mar 15;19(4):818-24 PMID: 1545077
  44. Anatomical and clinical predictors of valve dysfunction and aortic dilation in bicuspid aortic valve disease.
    Heart. 2018 Apr;104(7):566-573 PMID: 28864719
  45. The aetiology of coarctation of the aorta.
    Lancet. 1961 Mar 4;1(7175):463-8 PMID: 13690260
  46. The prevalence of bicuspid aortic valve in newborns by echocardiographic screening.
    Am Heart J. 2005 Sep;150(3):513-5 PMID: 16169333
  47. Deletions of the elastin gene at 7q11.23 occur in approximately 90% of patients with Williams syndrome.
    Am J Hum Genet. 1995 May;56(5):1156-61 PMID: 7726172
  48. Bypass graft for complex forms of isthmic aortic coarctation in adults.
    Ann Thorac Surg. 1995 Nov;60(5):1299-302 PMID: 8526616
Article Info
Journal
Echo research and practice
Abbr.
Echo Res Pract
ISSN
2055-0464
Published
2018-06-00
Epub
2018-00-16
Pages
R23-R36
Language
English
Region
England
NLM ID
101664713
PMCID
PMC5911774
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