title: Single-stage repair of aortic coarctation and multiple concomitant cardiac lesions through a median sternotomy.
abstract: Through a median sternotomy, we performed a single-stage repair of severe aortic coarctation, ventricular septal defect, patent foramen ovale, and mitral valve insufficiency. The severe aortic coarctation was repaired by interposing a synthetic graft between the distal ascending aorta and the descending aorta. We first repaired the coarctation with the 38-year-old man on cardiopulmonary bypass, before aortic cross-clamping, in order to shorten the cross-clamp time.
authors.affiliation: Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Education & Research Hospital, 06102 Ankara, Turkey. drukervan@yahoo.com
authors.forename: Umit
authors.initials: U
authors.lastname: Kervan
authors.forename: Okan
authors.initials: O
authors.lastname: Yurdakok
authors.forename: Bahadir
authors.initials: B
authors.lastname: Genc
authors.forename: Anil
authors.initials: A
authors.lastname: Ozen
authors.forename: Ahmet
authors.initials: A
authors.lastname: Saritas
authors.forename: Seref Alp
authors.initials: SA
authors.lastname: Kucuker
authors.forename: Mustafa
authors.initials: M
authors.lastname: Pac
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D003250:Constriction; D054092:Foramen Ovale, Patent / Q000150:complications / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery; D012720:Severity of Illness Index; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic coarctation; combined modality therapy; heart defects, congenital; mitral valve insufficiency; patent foramen ovale; sternotomy; ventricular septal defect