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CC BY 4.0 · Aorta (Stamford) 2020; 08(06): 178-180
DOI: 10.1055/s-0040-1721749
Case Report

Staged Endovascular Repair of Aortic Coarctation followed by Double Valve Surgery

Dimitrios V. Avgerinos 
1   Department of Cardiothoracic Surgery, New York Presbyterian Medical Center, Weill Cornell College of Medicine, New York, New York
,
Rajeev Dayal 
2   Department of Vascular Surgery, New York Presbyterian Medical Center, Weill Cornell College of Medicine, New York, New York
,
Charles Mack
1   Department of Cardiothoracic Surgery, New York Presbyterian Medical Center, Weill Cornell College of Medicine, New York, New York
,
Samuel Lang
1   Department of Cardiothoracic Surgery, New York Presbyterian Medical Center, Weill Cornell College of Medicine, New York, New York
,
Konstantinos S. Mylonas
3   Department of Surgery, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
› Author Affiliations Funding None.
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Abstract

We present a unique case of late diagnosis of coarctation of the aorta in an adult, presenting with congestive heart failure associated with severe aortic and mitral valve insufficiency. To minimize operative risk, staged endovascular repair of the coarctation was initially performed, followed by aortic valve replacement and mitral valve repair. Six months postoperatively, the 41-year-old patient remains completely asymptomatic.

Keywords

aortic coarctation - aortic valve insufficiency - mitral valve insufficiency - TEVAR - surgery


Publication History

Received: 22 July 2019

Accepted: 30 September 2020

Article published online:
24 March 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Salcher M, Naci H, Law TJ, Kuehne T, Schubert S, Kelm M. Cardioproof Consortium. Balloon dilatation and stenting for aortic coarctation: a systematic review and meta-analysis. Circ Cardiovasc Interv 2016; 9 (06) e003153
    CrossrefPubMedGoogle Scholar
  • 2 Warnes CA, Williams RG, Bashore TM. et al. ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008; 118 (23) e714-e833
    PubMedGoogle Scholar
  • 3 Schneider H, Uebing A, Shore DF. Modern management of adult coarctation: transcatheter and surgical options. J Cardiovasc Surg (Torino) 2016; 57 (04) 557-568
    PubMedGoogle Scholar
  • 4 Eckroth-Bernard K, Yoon HR, Ryer EJ, Elmore JR. Percutaneous endovascular repair of adult aortic coarctation. J Vasc Surg 2014; 59 (04) 1120
    CrossrefPubMedGoogle Scholar
  • 5 Lala S, Scali ST, Feezor RJ. et al. Outcomes of thoracic endovascular aortic repair in adult coarctation patients. J Vasc Surg 2018; 67 (02) 369-381.e2
    CrossrefPubMedGoogle Scholar
  • 6 Law Y, Tsilimparis N, Aleed S. et al. Treatment of aortic coarctation by self-expanding thoracic endograft with left subclavian in situ laser fenestration. Ann Vasc Surg 2019; 56: 350.e9-350.e13
    CrossrefPubMedGoogle Scholar
  • 7 Meadows J, Minahan M, McElhinney DB, McEnaney K, Ringel R. COAST Investigators*. Intermediate outcomes in the prospective, multicenter coarctation of the aorta stent trial (COAST). Circulation 2015; 131 (19) 1656-1664
    CrossrefPubMedGoogle Scholar
  • 8 Erben Y, Oderich GS, Verhagen HJM. et al. Multicenter experience with endovascular treatment of aortic coarctation in adults. J Vasc Surg 2019; 69 (03) 671-679.e1
    CrossrefPubMedGoogle Scholar