title: Internal mammary artery dilatation in a patient with aortic coarctation, aortic stenosis, and coronary disease. Case report.
abstract: The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications. We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.
authors.affiliation: Department of Cardiac Surgery, Universitary Hospital Santiago de Compostela (CHUS), SERGAS Travesia Choupana SN Santiago de Compostela, 15706 La Coruña, Spain.
authors.forename: Jose Rubio
authors.initials: JR
authors.lastname: Alvarez
authors.forename: Laura Reija
authors.initials: LR
authors.lastname: Lopez
authors.forename: Juan Sierra
authors.initials: JS
authors.lastname: Quiroga
authors.forename: Jose M
authors.initials: JM
authors.lastname: Martinez Comendador
authors.forename: Anxo
authors.initials: A
authors.lastname: Martinez-de-Alegria
authors.forename: Jose M
authors.initials: JM
authors.lastname: Martinez Cereijo
authors.forename: Cristian Delgado
authors.initials: CD
authors.lastname: Dominguez
mesh_terms: D000368:Aged; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D056346:Sternotomy; D014057:Tomography, X-Ray Computed