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Severe Supravalvular Aortic Stenosis Treated With Double Patch Aortoplasty: A Case Report.
Birat Kadel1, Ashok Paudel2, Parbej Allam2
1Department of Cardiac Surgery Sahid Gangalal National Heart Center Kathmandu Nepal.
Clinical Case Reports
|January 26, 2026
Summary
A rare case of severe supravalvular aortic stenosis in a teenager was successfully treated with double patch aortoplasty. Early diagnosis and tailored surgical intervention are crucial for managing complex congenital heart disease.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Severe supravalvular aortic stenosis is a rare but critical condition in young patients.
- Early diagnosis and intervention are essential for managing this condition.
Purpose of the Study:
- To report a case of severe supravalvular aortic stenosis in a 15-year-old girl.
- To highlight the importance of timely diagnosis and surgical intervention for complex congenital heart disease.
Main Methods:
- Echocardiography and multidetector computed tomography (MDCT) were used for diagnosis.
- A double patch aortoplasty was performed for surgical intervention.
Main Results:
- The patient presented with exertional dyspnea, chest pain, and palpitations.
- Echocardiography and MDCT confirmed severe supravalvular aortic stenosis, myxomatous mitral valve with moderate to severe mitral regurgitation, and reduced ejection fraction.
- The double patch aortoplasty resulted in a successful outcome.
Conclusions:
- This case highlights the importance of early diagnosis in managing congenital heart disease.
- Tailored surgical intervention and continued monitoring are vital for favorable outcomes in young patients with complex heart conditions.
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