Two stage hybrid approach for complex aortic coarctation repair.
BACKGROUND
Management of an adult patient with aortic coarctation and an associated cardiac pathology poses a great surgical challenge since there are no standard guidelines for the therapy of such complex pathology. Debate exists not only on which lesion should be corrected first, but also upon the type and timing of the procedure. Surgery can be one- or two-staged. Both of these strategies are accomplice with elevate morbidity and mortality.


METHODS
In the face of such an extended surgical approach, balloon dilatation seems preferable for treatment of severe aortic coarctation.We present an adult male patient with aortic coarctation combined with ascending aorta aneurysm and concomitant aortic valve regurgitation. The aortic coarctation was corrected first, using percutaneous balloon dilatation; and in a second stage the aortic regurgitation and ascending aorta aneurysm was treated by Bentall procedure. The patients' postoperative period was uneventful. Three years after the operation he continues to do well.
Koletsis
Efstratios
E
Department of Cardiothoracic Surgery, School of Medicine, University of Patras, Patras, Greece. ekoletsis@hotmail.com
Ekonomidis
Stella
S
Panagopoulos
Nikolaos
N
Tsaousis
George
G
Crockett
James
J
Panagiotou
Matthew
M
D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000628:therapy*; D001017:Aortic Coarctation / Q000150:complications / Q000628:therapy*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D002404:Catheterization / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D055815:Young Adult