["Hybrid" management of aortic coarctation associated with atrioventricular valve regurgitation in the adult].
The incidence of heart valve disease associated with aortic coarctation is 40% in patients < 30 years and 27% in younger patients. This report describes the case of a 41-year-old man, admitted for severe mitral and tricuspid valve incompetence, causing impairment of left ventricular function and pulmonary hypertension. During hospitalization an occasional finding of aortic coarctation was diagnosed. The optimal management of aortic coarctation associated with atrioventricular valve regurgitation remains a matter of debate. In this report the proper decision-making and the management are discussed.
Leva
Cristian
C
Dipartimento di Cardiochirurgia, Università degli Studi dell'Insubria, Ospedale di Circolo e Fondazione Macchi, Varese. crileva1972@yahoo.it
Mariscalco
Giovanni
G
Bruno
Vito Domenico
VD
Mantovani
Vittorio
V
Musazzi
Andrea
A
Ferrarese
Sandro
S
Boscarini
Mauro
M
Sala
Andrea
A
D000328:Adult; D000800:Angioplasty, Balloon; D001017:Aortic Coarctation / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D004452:Echocardiography; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D015607:Stents; D013997:Time Factors; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology