| Konno procedure (operation) |
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Repair of tunnel-like subvalvar LVOTO by aorto-ventriculoplasty. The
operation involves enlargement of the LV outflow tract by inserting a patch
in the ventricular septum, as well as aortic valve replacement and
enlargement of the aortic annulus and ascending aorta. (Konno S, et al. A
new method for prosthetic valve replacement in congenital aortic stenosis
associated with hypoplasia of the aortic valve ring. J Thorac Cardiovasc
Surg 1975;70:909-917.). In severe forms of LVOTO, a
prosthetic-valve-containing conduit may be inserted between the left
ventricular apex and descending aorta. (Didonato RM, et al. Left
ventricular-aortic conduits in paediatric patients. J Thorac Cardiovasc Surg
1984;88:82-91.) (Frommelt PC, et al. Natural history of apical left
ventricular to aortic conduits in paediatric patients. Circulation
1991;84(suppl III):213-218.)
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