Naslov
Aortic Coarctation Associated with Aortic Valve Stenosis and Mitral Regurgitation in an Adult Patient : A Two-Stage Approach Using a Large- Diameter Stent Graft.

Autori
Novosel, Luka ; Perkov, Dražen ; Dobrota, Savko ; Ćorić, Vedran ; Štern Padovan, Ranka.

Izvornik
Annals of vascular surgery (0890-5096) 28 (2014), 2; 494e9-494e14

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
aortic coarctation; surgery; endovascular management

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA