Surgical management of synchronous coronary artery disease and multiple aortic stenosis: a case report with brief review of the literature.
One-stage surgery was successfully performed in a 44-year-old hypertensive man with uncontrolled angina, multiple coarctations of the thoracic and abdominal aorta, and a previous subtotal gastrectomy. There was a gradient of 120 mm Hg between the thoracic and abdominal aorta. A graft was placed retroperitoneally from the infrarenal aorta to the ascending aorta and was followed by a coronary artery bypass graft. Twenty-four months postoperatively, the patient was free of angina, and his hypertension was easily controlled.
Hoover
E L
EL
Division of Thoracic Surgery, The Brooklyn Veterans Administration Medical Center, and the State University of New York, Downstate Medical Center, Brooklyn, New York 11209, USA.
Hsu
H K
HK
Diaz
C
C
Khan
R
R
Reddy
C V
CV
Gross
A M
AM
Webb
H
H
El-Sherif
N
N
Griepp
R B
RB