Extra-anatomic aortic bypass with aortic-, mitral-, and tricuspid surgery in a 53-year old: A single-stage approach for complex coarctation associated with triple valve pathology

J Card Surg. 2020 Apr;35(4):937-939. doi: 10.1111/jocs.14465. Epub 2020 Feb 17.

Abstract

Coarctation is rare in patients over 50 years of age; however, if present, it can be associated with complex intracardiac pathologies and represent a formidable surgical challenge. Herein, we report a single-stage approach for surgical repair of coarctation associated with aortic, mitral, and tricuspid valve pathology using an ascending-to-descending aortic bypass with posterior pericardial access.

Keywords: aortic coarctation; extraanatomical aortic bypass; multiple valve pathology.

Publication types

  • Case Reports

MeSH terms

  • Aortic Coarctation / complications
  • Aortic Coarctation / surgery*
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / surgery*
  • Cardiac Valve Annuloplasty / methods
  • Female
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Middle Aged
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / complications
  • Mitral Valve Insufficiency / surgery*
  • Treatment Outcome
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / complications
  • Tricuspid Valve Insufficiency / surgery*
  • Vascular Surgical Procedures / methods*