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Aortic Coarctation, Aortic Valvular Stenosis, and Coronary Artery Disease: Combined One‐Stage Surgical Therapy Operation
Author(s) -
Bartoccioni Sandro,
Giombolini Claudio,
Fiaschini Paolo,
Martinelli GianLuca,
Fedeli Corrado,
Lazzaro Davide Di,
Lanzillo Guido,
Possati Gian Federico
Publication year - 1995
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1995.tb00641.x
Subject(s) - medicine , cardiology , ascending aorta , stenosis , coarctation of the aorta , coronary artery disease , revascularization , valvular heart disease , aortic valve replacement , aortic valve , aorta , abdominal aorta , myocardial infarction
A bstract The presentation of simultaneous severe coarctation of the descending aorta and severe aortic valve disease is uncommon. We describe the management of simultaneous association of aortic coarctation, aortic valve disease, and ischemic cardiomyopathy and describe a one‐stage surgical approach for the correction of all pathologies. After performing the aortic valve replacement and myocardial revascularization, coarctation was solved by means of a prosthesis between the ascending aorta and the abdominal aorta. There were no evidence of myocardial ischemia during exercise testing and the blood pressure is normal.