Why the study?
The combination of aortic coarctation and bicuspid aortic valve carries a high risk of aortic complications, yet several questions regarding treatment strategies remain unanswered.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
A combined endovascular and surgical approach can successfully manage complex cases of concomitant bicuspid aortic valve, aortic coarctation, and massive aortic arteriopathy.
The combination of aortic coarctation (CoA) and bicuspid aortic valve (BAV) is associated with high risk of ascending aortic dilatation and type A aortic dissection. Most of the patients having combined lesions remain asymptomatic until adulthood and are incidentally diagnosed. Several questions regarding their treatment strategies remain unanswered. Both single-and two-stage surgical procedures have been described in medical literature, to treat CoA and BAV. Lately, combined endovascular therapy (Balloon angioplasty or Stent implantation) and surgery, has become a good alternative in selected cases. Here, we describe such a asymptomatic case of BAV with massive aneurysmal root dilatation and CoA, which was managed with endovascular stenting and surgery.
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Reddy et al. (2021) conducted a case report in Bicuspid Aortic Valve with Coarctation and Massive Aortic Arteriopathy (n=1). Combined endovascular stenting and surgical aortic root replacement was evaluated.
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