Why the study?
Does a one-stage operation through a median sternotomy improve symptoms and avoid complications in patients with aortic coarctation and additional cardiac disease?
Does a one-stage operation through a median sternotomy improve symptoms and avoid complications in patients with aortic coarctation and additional cardiac disease?
A one-stage operation through a median sternotomy appears feasible and safe for patients with aortic coarctation requiring concomitant cardiac surgery.
Supports one-stage sternotomy feasibility in coarctation with concomitant disease; leaves open need for larger trials before practice change.
Three patients with aortic coarctation and additional cardiac disease underwent a one-stage operation through a median sternotomy. Ascending-to-descending aortic bypass was carried out with a prosthetic graft in all 3 cases. One patient also had triple coronary bypass grafting with internal thoracic artery. Another patient underwent single coronary bypass grafting and aortic valve replacement. Aortic remodeling and mitral valve ring annuloplasty were performed in the third patient. There were no postoperative complications and all patients became symptom-free.
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Süzer et al. (2000) studied this question.
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