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Hybrid approach to severe coarctation and aortic regurgitation

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


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.


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:


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Hybrid approach to severe coarctation and aortic regurgitation

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


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