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Single-Stage Treatment of Aortic Coarctation and Aortic Valve Disease

Department of Cardiovascular Surgery, Fu Wai Hospital, Peking Union Medical College, Beijing, People’s Republic of China

For reprint information contact: Luo Xin Jin, MD Tel: 86 10 6831 4466 Fax: 86 10 8770 1652 email: luoxinjin{at}yahoo.com Department of Cardiovascular Surgery, Fu Wai Hospital, Peking Union Medical College, 167 Beilishi Road, Beijing 100037, People’s Republic of China.

Surgical management of thoracic aortic coarctation associated with severe aortic valve disease is difficult in most cases. As staged procedures are associated with a higher rate of morbidity and mortality, simultaneous operative management of both lesions is desirable. From 1997 to 2001, 9 patients (8 males and 1 female with a mean age of 30.1 ± 10.4 years) with this condition underwent simultaneous ascending aorta–infrarenal abdominal aorta bypass graft and aortic valve replacement. One patient died from failure of the extracorporeal circulation during the operation. Another patient suffered from partial intestinal obstruction in the early postoperative period but was successfully treated. The underlying pathology was successfully corrected in the 8 surviving patients, whose blood pressure in the upper limbs was reduced while that in the lower limbs rose. Being easier to manage, the single-stage approach with extraanatomic bypass is safe and effective for managing this aortic complication.

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