Korean J Thorac Cardiovasc Surg.  2015 Dec;48(6):407-410. 10.5090/kjtcs.2015.48.6.407.

Central-Approach Surgical Repair of Coarctation of the Aorta with a Back-up Left Ventricular Assist Device for an Infant Presenting with Severe Left Ventricular Dysfunction

  • 1Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Congenital Heart Disease Center, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Korea. hank@yuhs.ac
  • 2Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Inha University School of Medicine, Korea.
  • 3Yankin Children Hospital, Yangon, Myanmar.


A two-month-old infant presented with coarctation of the aorta, severe left ventricular dysfunction, and moderate to severe mitral regurgitation. Through median sternotomy, the aortic arch was repaired under cardiopulmonary bypass and regional cerebral perfusion. The patient was postoperatively supported with a left ventricular assist device for five days. Left ventricular function gradually improved, eventually recovering with the concomitant regression of mitral regurgitation. Prompt surgical repair of coarctation of the aorta is indicated for patients with severe left ventricular dysfunction. A central approach for surgical repair with a back-up left ventricular assist device is a safe and effective treatment strategy for these patients.


Coarctation; Infant; Heart failure; Ventricular assist device
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