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Hybrid approach to severe coarctation and aortic regurgitation

Published online by Cambridge University Press:  16 September 2005

Ana M. Teixeira
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal
Katya Reis-Santos
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal
Rui Anjos
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal


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.

Brief Report
© 2005 Cambridge University Press

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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.Google Scholar
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.Google Scholar
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.Google Scholar
Rufilanchas JJ, Villagra F, Maronas JM. Coarctation of the aorta and severe aortic insufficiency: what to repair first? Am J Surg 1997; 134: 428430.Google Scholar
Musumeci F, William JP. Aortic coarctation associated with aortic or mitral valve disease: Which lesion to correct first? Ann Thorac Surg 1998; 66: 600612.Google Scholar
Mullen MJ. Coarctation of the aorta in adults: do we need surgeons? Heart 2003; 89: 35.Google Scholar
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.Google Scholar
Magee AG, Blauth CI, Qureshi SA. Interventional and surgical management of aortic stenosis and coarctation. Ann Thorac Surg 2001; 71: 713715.Google Scholar