Single-stage repair via modified Bentall operation and extraanatomic ascending-descending aortic bypass through a median sternotomy is a feasible and effective approach for adult patients with complex coarctation of the aorta and annuloaortic ectasia.
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May offer a single-stage option for select adults with coarctation and annuloaortic ectasia; case report leaves open need for larger series.
Coarctation of the aorta is frequently associated with intracardiac disease. It is very difficult to decide on the best method for surgically treating adult patients with these combined heart diseases. We performed single-stage repair via a modified Bentall operation and by creating an intrapericardial ascending-descending aortic bypass through a median sternotomy in a patient with coarctation of the aorta and annuloaortic ectasia, and the latter was associated with aortic valve regurgitation.
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Kim et al. (2010) studied this question.
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