Hybrid approach to severe coarctation and aortic regurgitation.
Aortic coarctation is occasionally detected only in adulthood, usually in the context of systemic hypertension. It is frequently associated with other malformations, but the presence of severe disease of the aortic or mitral valves is rare. Such associated lesions, nonetheless, have important implications regarding the type and timing of therapeutic interventions. We describe an adult patient with severe aortic coarctation, aortic valvar regurgitation, and impaired left ventricular systolic function. We treated the aortic coarctation first by means of percutaneous dilation and implantation of a stent. Four days later, we proceeded to treat the aortic regurgitation surgically, using the Bentall procedure. Our experience documents a safe and efficient therapeutic approach to this association of lesions.
Teixeira
Ana M
AM
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal.
Reis-Santos
Katya
K
Anjos
Rui
R
D000328:Adult; D001017:Aortic Coarctation / Q000150:complications / Q000628:therapy*; D001021:Aortic Valve / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D002404:Catheterization; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male