Key result
Combined one-stage surgery resolves simultaneous aortic coarctation, aortic valve disease, and ischemic cardiomyopathy.
Why the study?
The presentation of simultaneous severe coarctation of the descending aorta and severe aortic valve disease is uncommon, requiring description of management strategies.
Case Report
A combined one-stage surgical approach is feasible and effective for treating simultaneous aortic coarctation, aortic valve disease, and ischemic cardiomyopathy.
The presentation of simultaneous severe coarctation of the descending aorta and severe aortic valve disease is uncommon. We describe the management of simultaneous association of aortic coarctation, aortic valve disease, and ischemic cardiomyopathy and describe a one-stage surgical approach for the correction of all pathologies. After performing the aortic valve replacement and myocardial revascularization, coarctation was solved by means of a prosthesis between the ascending aorta and the abdominal aorta. There were no evidence of myocardial ischemia during exercise testing and the blood pressure is normal.
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Bartoccioni et al. (1995) conducted a case report in Aortic coarctation, aortic valve disease, and ischemic cardiomyopathy. One-stage surgical approach (aortic valve replacement, myocardial revascularization, and ascending-to-abdominal aorta prosthesis) was evaluated. A combined one-stage surgical approach successfully treated simultaneous aortic coarctation, aortic valve disease, and ischemic cardiomyopathy, resulting in normal blood pressure and no ischemia.
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