Key result
A hybrid approach combining surgical repair of aortic coarctation and carotid cutdown for aortic balloon valvuloplasty successfully treated a 1-month-old infant, avoiding cardiopulmonary bypass.
Case Report (n=1)
No
A hybrid approach combining surgical coarctation repair and transcarotid balloon valvuloplasty successfully treated a neonate with severe aortic stenosis and coarctation of the aorta while avoiding the neurological risks associated with cardiopulmonary bypass.
Hybrid approach feasible in neonate with AS and CoA; leaves open need for prospective data before clinical adoption.
Hybrid surgery is becoming more popular in the treatment of children with congenital heart disease, particularly small infants and neonates. We report a case of a patient with aortic stenosis (AS) and coarctation of the aorta (CoA). CASE: a 1-month-old baby presented with severe AS and CoA. The decision was made to perform a hybrid surgical procedure. The patient underwent a lateral thoracotomy for repair of the CoA and carotid cutdown for aortic balloon valvuloplasty (AoVP).
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McLennan et al. (2017) conducted a case report in Severe aortic stenosis and severe coarctation of the aorta (n=1). Hybrid surgical procedure (thoracotomy for CoA repair and carotid cutdown for aortic balloon valvuloplasty) was evaluated on Clinical and echocardiographic outcomes. A hybrid approach combining surgical repair of aortic coarctation and carotid cutdown for aortic balloon valvuloplasty successfully treated a 1-month-old infant, avoiding cardiopulmonary bypass.
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