Single-stage repair of acute type A aortic dissection associated with aortic coarctation, perimembranous ventricular septal defect, and bicuspid aortic valve

Ann Thorac Surg. 2008 Jul;86(1):284-7. doi: 10.1016/j.athoracsur.2007.12.048.

Abstract

A 17-year-old man with coarctation of the thoracic aorta, bicuspid aortic valve, perimembranous ventricular septal defect, and acute type A dissection of the ascending aorta underwent emergency repair for dissection by means of single-stage replacement of not only the aortic valve and ascending aorta, but also simultaneous repair of the coarctation by graft interposition. These combined conditions comprised some difficulties that included decisions on the optimal timing and sequence of surgical repair, technique, and circulatory support.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / surgery*
  • Adolescent
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Coarctation / complications
  • Aortic Coarctation / diagnostic imaging
  • Aortic Coarctation / surgery
  • Aortic Dissection / complications
  • Aortic Dissection / pathology
  • Aortic Dissection / surgery*
  • Aortic Valve / abnormalities*
  • Aortic Valve / surgery
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation
  • Cardiac Surgical Procedures / methods
  • Combined Modality Therapy
  • Follow-Up Studies
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / surgery*
  • Heart Septal Defects, Ventricular / complications
  • Heart Septal Defects, Ventricular / diagnostic imaging
  • Heart Septal Defects, Ventricular / surgery
  • Heart Valve Prosthesis Implantation
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome