[Extreme aortic coarctaction, severe aortic regurgitation and heart failure relieved immediately after stent aortoplasty, and complete resolution through Bental/de Bono surgical repair].
When aneurysm of the root of aorta, bicuspid aorta valve and coarctation coexist, surgical repair involves technical problems. We present the case of a patient in whom initial correction of the coarctation was made by means of interventional treatment, with an impressive and practically immediate resolution of heart failure. In a second intervartional, the aortic root pathology was corrected through the Bentall and de Bono's surgical technique. We present the short- and mid-term results. In addition this case demostrates the little well-know fact, that the patients with bicuspid aorta also have cystic media degeneration of the wall of the aorta.
Trevethan Cravioto
Sergio
S
Departamento Consulta Externa, Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, México, DF. trevethan@cardiologia.org.mx
Eid Lidt
Guering
G
García Montes
José Antonio
JA
Martínez Hernández
Humberto
H
Avila Vanzzini
Nydia
N
Meave González
Aloha
A
Espínola Zavaleta
Nilda
N
Arana
Alberto
A
Cossio Aranda
Jorge
J
Fregoso Padilla
Jorge
J
D000328:Adult; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D006333:Heart Failure / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D012074:Remission Induction; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods