Skip to main content Accessibility help
×
Home

Hybrid approach to severe coarctation and aortic regurgitation

  • Ana M. Teixeira (a1), Katya Reis-Santos (a1) and Rui Anjos (a1)

Abstract

Aortic coarctation is occasionally detected only in adulthood, usually in the context of systemic hypertension. It is frequently associated with other malformations, but the presence of severe disease of the aortic or mitral valves is rare. Such associated lesions, nonetheless, have important implications regarding the type and timing of therapeutic interventions. We describe an adult patient with severe aortic coarctation, aortic valvar regurgitation, and impaired left ventricular systolic function. We treated the aortic coarctation first by means of percutaneous dilation and implantation of a stent. Four days later, we proceeded to treat the aortic regurgitation surgically, using the Bentall procedure. Our experience documents a safe and efficient therapeutic approach to this association of lesions.

Copyright

Corresponding author

Correspondence to: Rui Anjos, Hospital de Santa Cruz – Serviço de Cardiologia Pediátrica, Avenida Prof. Dr Reinaldo dos Santos, 2790-134 Carnaxide, Portugal. Tel: +351 21 416 3400; Fax: +351 21 418 8095; E-mail: ranjos@netcabo.pt

References

Hide All

References

Mulay AV, Ashraf S, Watterson KG. Two-stage repair of adult coarctation of the aorta with congenital valvular lesions. Ann Thorac Surg 1997; 64: 13091311.
Zabal C, Attie F, Rosas M, Buendía-Hernandez A, Garcia-Montes JA. The adult patient with native coarctation of the aorta: balloon angioplasty or primary stenting? Heart 2003; 89: 7783.
Pethig K, Wahlers T, Tager S, Borst H-G. Perioperative complications in combined aortic valve replacement and extra-anatomic ascending–descending bypass. Ann Thorac Surg 1996; 61: 17241726.
Rufilanchas JJ, Villagra F, Maronas JM. Coarctation of the aorta and severe aortic insufficiency: what to repair first? Am J Surg 1997; 134: 428430.
Musumeci F, William JP. Aortic coarctation associated with aortic or mitral valve disease: Which lesion to correct first? Ann Thorac Surg 1998; 66: 600612.
Mullen MJ. Coarctation of the aorta in adults: do we need surgeons? Heart 2003; 89: 35.
Suarez de Lezo J, Pan M, Romero M, et al. Immediate and follow-up findings after stent treatment for severe coarctation of aorta. Am J Cardiol 1999; 83: 400406.
Magee AG, Blauth CI, Qureshi SA. Interventional and surgical management of aortic stenosis and coarctation. Ann Thorac Surg 2001; 71: 713715.

Keywords

Related content

Powered by UNSILO

Hybrid approach to severe coarctation and aortic regurgitation

  • Ana M. Teixeira (a1), Katya Reis-Santos (a1) and Rui Anjos (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.