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Hybrid approach to severe coarctation and aortic regurgitation

Published online by Cambridge University Press:  16 September 2005

Ana M. Teixeira ,
Katya Reis-Santos  and
Rui Anjos
Ana M. Teixeira
Affiliation:
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal
Katya Reis-Santos
Affiliation:
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal
Rui Anjos
Affiliation:
Department of Paediatric Cardiology, Santa Cruz Hospital, Carnaxide, Portugal
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Abstract

Aortic coarctation is occasionally detected only in adulthood, usually in the context of systemic hypertension. It is frequently associated with other malformations, but the presence of severe disease of the aortic or mitral valves is rare. Such associated lesions, nonetheless, have important implications regarding the type and timing of therapeutic interventions. We describe an adult patient with severe aortic coarctation, aortic valvar regurgitation, and impaired left ventricular systolic function. We treated the aortic coarctation first by means of percutaneous dilation and implantation of a stent. Four days later, we proceeded to treat the aortic regurgitation surgically, using the Bentall procedure. Our experience documents a safe and efficient therapeutic approach to this association of lesions.

Keywords

Interventional catheterisationhybrid approachstenting
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 5 , October 2005 , pp. 525 - 528
Copyright
© 2005 Cambridge University Press

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