Key result
Combined ascending-abdominal aortic bypass and AVR eliminates upper-to-lower limb BP gradient at 1 year.
Why the study?
Residual aortic coarctation with associated aortic valve disease after multiple prior surgeries and unsuccessful percutaneous interventions presents surgical challenges and risks.
Case Report (n=1)
No
Ascending-abdominal aortic bypass via median sternotomy is a useful approach for residual aortic coarctation requiring concomitant intracardiac procedures, avoiding the risks of lateral thoracotomy.
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Kadowaki et al. (2014) conducted a case report in Residual aortic coarctation and aortic regurgitation (n=1). Combined ascending-abdominal aortic bypass and aortic valve replacement was evaluated on Resolution of upper-to-lower limb blood pressure gradient and graft patency. Combined ascending-abdominal aortic bypass and aortic valve replacement successfully eliminated the upper-to-lower limb blood pressure gradient with good graft patency at 1 year.
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