Single-stage repair of adult aortic coarctation and concomitant cardiovascular pathologies: a new alternative surgical approach.
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.
Yilmaz
Mert
M
Cardiovascular Surgery Department, Faculty of Medicine, Uludag University, Bursa, Turkey. cvitr@yahoo.com
Polat
Bulent
B
Saba
Davit
D
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