title: Single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies: a new alternative surgical approach.
abstract: BACKGROUND
  Coarctation of the aorta in the adulthood is sometimes associated with additional cardiovascular pathologies that require intervention. Ideal approach in such patients is uncertain. Anatomic left-sided short aortic bypass from the arcus aorta to descending aorta via median sternotomy allows simultaneous repair of both complex aortic coarctation and concomitant cardiac operation.
  
  
  METHODS
  Four adult patients were underwent Anatomic left-sided short aortic bypass operation for complex aortic coarctation through median sternotomy using deep hypothermic circulatory arrest. Concomitant cardiac operations were Bentall procedure for annuloaortic ectasia in one patient, coronary artery bypass grafting for three vessel disease in two patient, and patch closure of ventricular septal defect in one patient.
  
  
  RESULTS
  All patients survived the operation and were alive with patent bypass at a mean follow-up of 36 months. No graft-related complications occurred, and there were no instances of stroke or paraplegia.
  
  
  CONCLUSIONS
  We conclude that single-stage repair of adult aortic coarctation with concomitant cardiovascular lesions can be performed safely using this newest technique.
authors.affiliation: Cardiovascular Surgery Department, Faculty of Medicine, Uludag University, Bursa, Turkey. cvitr@yahoo.com
authors.forename: Mert
authors.initials: M
authors.lastname: Yilmaz
authors.forename: Bulent
authors.initials: B
authors.lastname: Polat
authors.forename: Davit
authors.initials: D
authors.lastname: Saba
mesh_terms: D000293:Adolescent; D000328:Adult; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery*; D006349:Heart Valve Diseases / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures