title: Redo sternotomy for extra-anatomical correction of aortic coarctation and mitral repair in an adult after failed endovascular treatment.
abstract: Recently, extra-anatomical bypass surgery has been widely used in complicated adult aortic coarctation cases with concomitant intracardiac repair. Stent implantation has been widely used for primary aortic coarctation as well. The procedure has been shown to be effective with long term follow ups. However, failed stent implantations like stent fracture and dislodgement may complicate the clinical status and subsequent surgical procedure. Extra-anatomic bypass can provide effective results and lower morbidity in cases with concomitant intracardiac problems and stent failure. Here we present an adult aortic coarctation patient who had undergone a Bentall operation and two unsuccessful stent implantations for recurrent aortic coarctation. The patient then got an extra-anatomic bypass for aortic coarctation and concomitant mitral valve commissurotomy through median sternotomy.
authors.affiliation: Baskent University, Istanbul Research and Medical Training Hospital Istanbul, Turkey. dremreozker@yahoo.com
authors.forename: E
authors.initials: E
authors.lastname: Ozker
authors.forename: B
authors.initials: B
authors.lastname: Saritas
authors.forename: C
authors.initials: C
authors.lastname: Vuran
authors.forename: U
authors.initials: U
authors.lastname: Yoruker
authors.forename: O I
authors.initials: OI
authors.lastname: Kocyigit
authors.forename: R
authors.initials: R
authors.lastname: Turkoz
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011475:Prosthesis Failure; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure