Thorac Cardiovasc Surg 2006; 54(4): 276-278
DOI: 10.1055/s-2005-872858
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Surgical Repair of the Aortic Coarctation Combined with Complete Replacement of the Ascending Aorta and Aortic Arch

P. P. Urbanski1 , J. C. Saavedra Blume1 , S. Froehner1
  • 1Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Further Information

Publication History

Received April 18, 2005

Publication Date:
02 June 2006 (online)

Abstract

We present a 63-year-old patient with aortic valve stenosis, ascending aorta aneurysm, aortic coarctation as well as atherosclerotic, elongated, and stenosed aortic arch. Surgical treatment consisted of a complete ascending aorta replacement with a valved composite graft and complete replacement of the aortic arch including the isthmus, and was performed simultaneously through median sternotomy.

References

  • 1 Jenkins N P, Ward C. Coarctation of the aorta: natural history and outcome after surgical treatment.  Q J Med. 1999;  92 365-371
  • 2 Morris R J, Samuels L E, Brockmann S K. Total simultaneous repair of coarctation and intracardiac pathology in adult patients.  Ann Thorac Surg. 1998;  65 1698-1702
  • 3 Izhar U, Schaff H V, Mullany C J, Daly R C, Orszulak T A. Posterior pericardial approach for ascending aorta-to-descending aorta bypass through a median sternotomy.  Ann Thorac Surg. 2000;  70 31-37
  • 4 Carrel T P, Berdat P A, Baumgartner I, Dinkel H-P, Schmidli J. Combined surgical and endovascular approach to treat a complex aortic coarctation without extracorporal circulation.  Ann Thorac Surg. 2004;  78 1462-1465
  • 5 Magee A G, Blauth C I, Qureshi S A. Interventional and surgical management of aortic stenosis and coarctation.  Ann Thorac Surg. 2001;  71 713-715
  • 6 Hamdan M A, Maheshwari S, Fahey J T, Hellenbrand W E. Endovascular stents for coarctation of the aorta: initial results and intermediate-term follow-up.  J Am Coll Cardiol. 2001;  38 1518-1523
  • 7 Varma C, Benson L N, Butany J, Mc Laughlin P R. Aortic dissection after stent dilatation for coarctation of the aorta: a case report and literature review.  Catheter Cardiovasc Interv. 2003;  59 536-537

Dr. Paul P. Urbanski

Herz- und Gefäß-Klinik

Salzburger Leite 1

97616 Bad Neustadt

Germany

Phone: + 499771662416

Fax: + 49 97 71 65 12 19

Email: p.urbanski@herzchirurgie.de