One-stage repair of aortic coarctation and ascending aortic aneurysm by extra-anatomic graft.
The best surgical approach for patients presenting with coarctation of the aorta and additional surgical cardiovascular disorders is uncertain. We describe the case of a young man with an aneurysm of the ascending aorta and a bicuspid aortic valve with a moderate insufficiency associated with a coarctation of the aorta. The patient underwent a single-stage procedure where the ascending aorta was replaced, the aortic valve repaired and the coarctation bypassed with an extra-anatomic graft. In our opinion, ascending-to-descending extra-anatomic graft is a good solution to treat these complicated cases.
Gelpi
Guido
G
Cardiovascular Division, L.Sacco Hospital, Milan, Italy. gelpi.guido@hsacco.it
Lemma
Massimo
M
Pettinari
Matteo
M
Vanelli
Paolo
P
Antona
Carlo
C
D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006348:Cardiac Surgical Procedures; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D013249:Sternum / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011093:Polyethylene Terephthalates