Diffuse supravalvar aortic stenosis can be treated by a variety of sur
gical approaches. In this case of severe diffuse supravalvar aortic st
enosis in a child, we used the combination of an apicoaortic conduit f
ollowed 6 years later by aortic valve replacement, replacement of the
ascending aorta and aortic arch, and an ascending to thoracic descendi
ng aorta bypass graft.