Sporadic supravalvular stenosis in a young man

JBR-BTR. 2013 Jan-Feb;96(1):27-9. doi: 10.5334/jbr-btr.175.

Abstract

Supravalvar aortic stenosis (SVAS) is a form of congenital left ventricular outflow tract (LVOT) obstruction that occurs as a localized or diffuse narrowing of the ascending aorta beyond the superior margin of the sinuses of Valsalva. SVAS is a rare progressive congenital heart defect with a higher risk of sudden cardiac death. Our patient was a 30-year-old man referred by his GP for an incidental finding of heart murmur. Echocardiography showed a hypertrophic left ventricle with an increased pressure gradient. CT and MRI angiography and eventual arteriography confirmed the diagnosis by showing a narrowing of the aorta at the sinotubular junction with significant accelerated flow. This stenosis was eventually surgically corrected with no complications.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta / diagnostic imaging
  • Aorta / pathology
  • Aorta / surgery
  • Aortic Stenosis, Supravalvular / complications
  • Aortic Stenosis, Supravalvular / diagnosis*
  • Aortic Stenosis, Supravalvular / surgery
  • Aortography / methods
  • Diagnosis, Differential
  • Heart Murmurs / complications
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Tomography, X-Ray Computed / methods
  • Ultrasonography