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- Title
Ascending-to-Descending Aortic Bypass and Aortic Valve Replacement for Concomitant Severe Aortic Coarctation and Aortic Stenosis.
- Authors
Chu, Michael W. A.; Adams, Corey; Torres, Pedro
- Abstract
We present a 33-year-old male with severe, symptomatic aortic coarctation and aortic stenosis assessed on a humanitarian medical mission to a developing country. Contemplating limited time and available resources, we performed a simultaneous single-stage approach with ascending-to-descending aortic bypass with a reinforced gortex graft and concomitant aortic valve replacement through a median sternotomy. The patient had an uneventful postoperative convalescence and was discharged on postoperative day 5. At 1-year follow-up, he was asymptomatic and doing well with good blood pressure control and complete equalization of upper and lower limb blood pressure measurements. Computed tomography and transthoracic echocardiography demonstrated a widely patent ascending-to-descending aortic bypass graft and a normally functioning prosthetic aortic valve, respectively. In developing countries where health care resources are limited, a combined approach with an extra-anatomic, thoracic aortic bypass, and aortic valve replacement resulted in good early and 1-year outcomes. This procedure may represent the most effective surgical option for patients with concomitant aortic coarctation and aortic stenosis.
- Subjects
AORTIC coarctation; AORTIC valve surgery; AORTIC stenosis; CORONARY artery bypass; ECHOCARDIOGRAPHY; HEART failure; HYPERTENSION; HEALTH outcome assessment; TREATMENT effectiveness; THERAPEUTICS
- Publication
Vascular & Endovascular Surgery, 2011, Vol 45, Issue 3, p303
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574410396589