Korean Circ J.  2012 Jan;42(1):62-64. 10.4070/kcj.2012.42.1.62.

Severe Aortic Coarctation in a 75-Year-Old Woman: Total Simultaneous Repair of Aortic Coarctation and Severe Aortic Stenosis

• Park JH
• Chun KJ
• Song SG
• Kim JS
• Park YH
• Kim J
• Choo KS
• Kim JH
• Lee SK

• KMID: 2297911
• DOI: http://doi.org/10.4070/kcj.2012.42.1.62

Abstract

Aortic coarctation is usually diagnosed and repaired in childhood and early adulthood. Survival of a patient with an uncorrected coarctation to more than 70 years of age is extremely unusual, and management strategies for these cases remain controversial. We present a case of a 75-year-old woman who was first diagnosed with aortic coarctation and severe aortic valve stenosis 5 years ago and who underwent a successful one-stage repair involving valve replacement and insertion of an extra-anatomical bypass graft from the ascending to the descending aorta.

Keyword

Aortic coarctation; Aged; Thoracic surgical procedures

MeSH Terms

Aged
Aorta, Thoracic
Aortic Coarctation
Aortic Valve Stenosis
Female
Humans
Thoracic Surgical Procedures
Transplants

Figure

• 

  Fig. 1 Aortography revealed severe coarctation of the aorta (arrow).

• 

  Fig. 2 Preoperative three-dimensional computed tomography revealed aortic coarctation (arrow) (A) and compensatory dilatation of the intercostal and internal thoracic arteries (B).

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  Fig. 3 Postoperative three-dimensional computed tomography revealed an extra-anatomic bypass graft from the ascending to the descending aorta (arrow).

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