title: Aortic coarctation associated with aortic valve stenosis and mitral regurgitation in an adult patient: a two-stage approach using a large-diameter stent graft.
abstract: We report a case of a staged surgical and endovascular management in a 62-year-old woman with aortic coarctation associated with aortic valve stenosis and mitral regurgitation. The patient was admitted for severe aortic valve stenosis and mitral valve incompetence. During hospitalization and preoperative imaging, a previously undiagnosed aortic coarctation was discovered. The patient underwent a 2-stage approach that combined a Bentall procedure and mitral valve replacement in the first stage, followed by correction of the aortic coarctation by percutaneous placement of an Advanta V12 large-diameter stent graft (Atrium, Mijdrecht, The Netherlands) which to our knowledge has not been used in an adult patient with this combination of additional cardiac comorbidities. A staged approach combining surgical treatment first and endovascular placement of an Advanta V12 stent graft in the second stage can be effective and safe in adult patients with coarctation of the aorta and additional cardiac comorbidities.
authors: Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia.
authors: Luka
authors: L
authors: Novosel
authors: Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia. Electronic address: drazen.perkov@zg.t-com.hr.
authors: Dražen
authors: D
authors: Perkov
authors: Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia.
authors: Savko
authors: S
authors: Dobrota
authors: Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia.
authors: Vedran
authors: V
authors: Ćorić
authors: Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia.
authors: Ranka
authors: R
authors: Štern Padovan
mesh_terms: D015901:Angiography, Digital Subtraction; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D061330:Multidetector Computed Tomography; D011474:Prosthesis Design; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome