Details

Autor(en) / Beteiligte

• Stamm, Christof
• Friehs, Ingeborg
• Ho, Siew Yen
• Moran, Adrian M.
• Jonas, Richard A.
• del Nido, Pedro J.

Titel

Congenital supravalvar aortic stenosis: a simple lesion?

Ist Teil von

• European journal of cardio-thoracic surgery, 2001-02, Vol.19 (2), p.195-202

Ort / Verlag

Amsterdam: Elsevier Science B.V

Erscheinungsjahr

2001

Quelle

Oxford Journals 2020 Medicine

Beschreibungen/Notizen

• The underlying cause of congenital supravalvular aortic stenosis (SVAS) has recently been identified as a loss-of function mutation of the elastin gene on chromosome 7q11.23, resulting in an obstructive arteriopathy of varying severity, which is most prominent at the aortic sinutubular junction. The generalized nature of the disease explains the frequent association with stenoses of systemic and pulmonary arteries. Furthermore, localization of the supravalvular stenosis at the level of the commissures of the aortic valve has important implications for both aortic valve function and coronary circulation. This review summarizes the recent advances with regard to the pathogenesis of SVAS and describes the multitude of clinically relevant pathologic features other that the mere ‘supra-aortic’ narrowing that have important implications for surgical therapy.