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BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, no.1, 2025 (SCI-Expanded)
Introduction: The Konno-Rastan procedure is a commonly used surgical technique to address complicated subaor tic stenosis and to enlarge the aorta via an anterior route. The objective of this report is to describe the experience of our underwent the Konno-Rastan procedure. Relevant information was retrospectiveThe median follow-up was nine years (4 - 16 years), and there was no operative mortality. All patients had a straightforward recovery, and five patients required reoperation at follow-up, none of which was related to the left ventricular outflow tract. The median echocardiographic indices at the most recent follow-up were not significantly different from the preoperative values, with a median peak gradient across the left ventricular outflow tract of 25 mmHg. In their most recent follow-up, 81% of the patients were New York Heart Association class 1. No bleeding, thromboembolic, or infective complications were encountered. Conclusion: We concluded that the Konno-Rastan procedure can be regarded as a definitive alternative to other surgical interventions for left ventricular outflow tract obstructions. Although reoperations are still necessary, particularly in patients with additional mitral valve disease, the Konno-Rastan procedure is still a viable option in patients with complex left ventricular disease.