New four patch repair [Modified Brom's] technique for supravalvular aortic stenosis

Abstract

The objective of this paper is to describe the novel four-patch technique [modified Brom's] for repair of supravalvular aortic stenosis (SVAS). After transection of the aortaat the sinotubular junction, three longitudinal incisions are made into thethree sinuses. The aortic root geometry was restored by placement ofthree separate patches of autologous pericardium in the opened sinuses. One additional diamond shaped pericardial patch placed anteriorly between proximal and distal aorta. This modified four patch technique provides a complete and symmetric restoration of theaortic anatomy with insignificant gradient and good short-term and potentially good long-term results.

Osteoid osteoma of the ribs-Is image intensifier or bone scintigraphy a mandatory diagnostic tool-A case report with Review of literature

“…OOs may affect any bone, but more than half of the tumours occur in the long bones of the lower extremities. The frequency of OOs affecting the ribs is extremely low (1-1.4%), with only 14 reported cases with surgical intervention to date [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Our case had presented itself at an age which is beyond the normal age group of incidence [3].…”

“…As per the available literature of the 15 cases of rib osteomas reported so far, we have come to the following consensus [3][4][5][6][7][8][9][10][11][12][13][14][15][16] as in Table 1.…”

“…Pre-operative CT imaging was used by all authors [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. No data was available in case of 4 reports [5,9,11,13]. In the case reported by Veluvolu et al [7], CT scan had missed the lesion pre-operatively [7], that later had to be confirmed by scintigraphy.…”