A single-stage surgical approach via median sternotomy can be successfully used to manage rare concurrent presentations of type II aortic dissection, bicuspid aortic valve, and aortic coarctation.
Alerts clinicians to screen for coarctation in young adults with bicuspid valve and dissection; single case leaves management questions open.
This case report describes an exceptional case of aortic aneurysm co-occurring with type II dissection, bicuspid aortic valve, and severe aortic valve regurgitation in a patient with aortic coarctation. A 39-year-old man without any medical history was admitted to the hospital with chest pain. Physical examination revealed a holosystolic murmur and a noticeable blood pressure difference between the upper and lower extremities. Imaging studies unveiled the presence of aortic dissection, aortic coarctation, and a bicuspid aortic valve. The patient underwent an urgent single-stage surgical intervention performed via a median sternotomy approach: the procedure involved patch angioplasty, a mechanical prosthetic valve, and a Dacron tube graft. The patient's follow-up assessments indicated successful outcomes. This case report highlights the complexity of managing concurrent pathologies, suggests a unique surgical approach, and underscores the importance of tailored interventions in rare presentations of cardiovascular diseases.
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Arslan et al. (2024) studied this question.
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