title: Combined therapy of coarctation and coronary heart disease in an adult.
abstract: The association of aortic coarctation and ischaemic cardiopathy is rare. We present a case of such an association in a 58-year-old patient with established spinal-cord damage and describe a one-stage surgical approach for the correction of both pathologies. Coarctation is solved by means of a supracoeliac to thoracic aortic bypass, and then coronary bypass grafting is performed under CPB. In this case grafts were carried out using the left internal mammary artery (IMA) even though it was hypertrophied. There were no postoperative complications and at 10 months the patient was asymptomatic.
authors.affiliation: Department of Cardiovascular Surgery, Hospital de la Princesa, Madrid, Spain.
authors.forename: D
authors.initials: D
authors.lastname: Fernández de Caleya
authors.forename: J
authors.initials: J
authors.lastname: Duarte
authors.forename: A
authors.initials: A
authors.lastname: Eguren
authors.forename: N
authors.initials: N
authors.lastname: Torrente
authors.forename: A
authors.initials: A
authors.lastname: Lozano
authors.forename: J
authors.initials: J
authors.lastname: Nuche
mesh_terms: D001012:Aorta, Abdominal; D001013:Aorta, Thoracic; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications* / Q000601:surgery*; D009204:Myocardial Revascularization; D012501:Saphenous Vein / Q000637:transplantation