Combined therapy of re-coarctation of the aorta and coronary heart disease.
We report on an uncommon case of recoarctation of the aorta 36 years after resection and end-to-end anastomosis associated with coronary heart disease. Since a two-staged surgical therapy implies an increased risk of life for the patient, we decided to perform a combined surgical procedure. Exposing the heart by a median sternotomy we implanted a 16 mm synthetic graft from the ascending to the descending thoracic aorta and performed a prosthesio-coronary bypass in one session. The patient had an uneventful recovery. In our opinion this procedure is the method of choice for similar cases.
F W
FW
Hehrlein
M
M
Schlepper
H H
HH
Scheld
G
G
Görlach
D000328:Adult; D001013:Aorta, Thoracic / Q000601:surgery; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods