One-stage correction of aortic coarctation and severe mitral regurgitation via left posteriolateral thoracotomy in a 2-year-old child.
We successfully treated a case of a 2-year-old male with aortic coarctation coexisting with severe mitral regurgitation via left posteriolateral thoracotomy at one stage. After a mitral valve replacement under perfused ventricular fibrillation with moderate hypothermia, we repaired the aortic coarctation with coarctation resection and end-to-end anastamosis with the aid of deep hypothermic circulatory arrest and selective low-flow cerebral perfusion. The patient had an uneventful hospital course and remains well.
Gong
Qi Hua
QH
Department of Pediatric Cardiac Surgery, the Second Xiangya Hospital, Central South University, Hunan, People's Republic of China.
Yang
Yi Feng
YF
Zhao
Tian Li
TL
Yang
Jin Fu
JF
Wu
Zhong Shi
ZS
Chen
Jin Lan
JL
Yin
Ni
N
D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery*; D002675:Child, Preschool; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D013908:Thoracotomy