Single-Stage Repair of Aneurysm of the Ascending Aorta Associated with Aortic Coarctation

Authors

  • Saina Attaran
  • Jeremy Felderhoff
  • Mark A. Westwood
  • Wael I. Awad

DOI:

https://doi.org/10.1532/HSF98.20091188

Abstract

A 38-year-old man with a history of uncontrolled hypertension was investigated for atypical chest pains and found to have an aneurysm of the ascending aorta and a coexisting coarctation of the aorta. The timing and sequence of surgical repair of these 2 pathologies are controversial. We report an elective single-stage operation in which the ascending aorta was replaced and an extracardiac bypass from the ascending to the descending aorta was performed with excellent results.

References

Attenhofer Jost CH, Schaff HV, Connolly HM, et al. 2002. Spectrum of reoperations after repair of aortic coarctation: importance of an individualized approach because of coexistent cardiovascular disease. Mayo Clin Proc 77:646-53.nBonvini R, Wyttenbach R, Ghisla R, Gargiulo G, Gallino A. 2002. Images in cardiovascular medicine. Type A aortic dissection in a patient with congenital coarctation of the aorta: emergency surgical repair with an extra-anatomic bypass. Circulation 106:e74-5.nBüket S, Yagdi T, Cikirikçioglu M, Alayunt EA. 2001. Single-stage transpericardial repair of acute aortic dissection associated with recoarctation. J Thorac Cardiovasc Surg 121:987-9.nCranfield KR, Brackenbury ET, Fraser SCA. 2008. One-stage repair of an aortic dissection and aortic coarctation. Interact Cardiovasc Thorac Surg 7:170-2.nHovaguimian H, Aru GM, Floten HS. 1990. Acute type I aortic dissection with coarctation of the aorta: discussion of management and the report of a successful brain perfusion across an aortic coarctation. J Thorac Cardiovasc Surg 100:152-3.nLawson RA, Fenn A. 1979. Dissection of an aneurysmal ascending aorta in association with coarctation of the aorta. Thorax 34:606-11.nSvensson LG. 1994. Management of acute aortic dissection associated with coarctation by a single operation. Ann Thorac Surg 58:241-3.nTesler UF, Tomasco B. 1996. Repair of acute dissection of the ascending aorta associated with aortic coarctation. Tex Heart Inst J 23:170-3.n

Published

2010-08-18

How to Cite

Attaran, S., Felderhoff, J., Westwood, M. A., & Awad, W. I. (2010). Single-Stage Repair of Aneurysm of the Ascending Aorta Associated with Aortic Coarctation. The Heart Surgery Forum, 13(4), E265-E266. https://doi.org/10.1532/HSF98.20091188

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