Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement

We herein report a case of a 20-year-old man with aortic regurgitation (AR), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA). The preoperative ankle–brachial pressure index was 0.56 in bilateral extremities. Enhanced computed tomography revealed CoA-postductal type. We decided to...

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Autores principales: Seguchi, Ryuta, Horikawa, Takafumi, Kiuchi, Ryuta, Sanada, Junichiro, Ohtake, Hiroshi, Watanabe, Go
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758586/
https://www.ncbi.nlm.nih.gov/pubmed/33391560
http://dx.doi.org/10.3400/avd.cr.20-00040
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author Seguchi, Ryuta
Horikawa, Takafumi
Kiuchi, Ryuta
Sanada, Junichiro
Ohtake, Hiroshi
Watanabe, Go
author_facet Seguchi, Ryuta
Horikawa, Takafumi
Kiuchi, Ryuta
Sanada, Junichiro
Ohtake, Hiroshi
Watanabe, Go
author_sort Seguchi, Ryuta
collection PubMed
description We herein report a case of a 20-year-old man with aortic regurgitation (AR), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA). The preoperative ankle–brachial pressure index was 0.56 in bilateral extremities. Enhanced computed tomography revealed CoA-postductal type. We decided to perform a two-stage surgery: thoracic endovascular aortic repair (TEVAR) for CoA and PDA and then open surgery for AR. TEVAR was successfully performed with deployment of the stent graft at a 31-mm diameter subsequent to balloon dilation. At 8 days after TEVAR, the patient underwent aortic valve replacement via median sternotomy and was discharged without a complication.
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spelling pubmed-77585862020-12-31 Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement Seguchi, Ryuta Horikawa, Takafumi Kiuchi, Ryuta Sanada, Junichiro Ohtake, Hiroshi Watanabe, Go Ann Vasc Dis Case Report We herein report a case of a 20-year-old man with aortic regurgitation (AR), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA). The preoperative ankle–brachial pressure index was 0.56 in bilateral extremities. Enhanced computed tomography revealed CoA-postductal type. We decided to perform a two-stage surgery: thoracic endovascular aortic repair (TEVAR) for CoA and PDA and then open surgery for AR. TEVAR was successfully performed with deployment of the stent graft at a 31-mm diameter subsequent to balloon dilation. At 8 days after TEVAR, the patient underwent aortic valve replacement via median sternotomy and was discharged without a complication. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-12-25 /pmc/articles/PMC7758586/ /pubmed/33391560 http://dx.doi.org/10.3400/avd.cr.20-00040 Text en © 2020 The Editorial Committee of Annals of Vascular Diseases. http://creativecommons.org/licenses/by/2.5/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Seguchi, Ryuta
Horikawa, Takafumi
Kiuchi, Ryuta
Sanada, Junichiro
Ohtake, Hiroshi
Watanabe, Go
Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement
title Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement
title_full Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement
title_fullStr Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement
title_full_unstemmed Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement
title_short Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement
title_sort successful two-stage treatment for coarctation of the aorta-postductal type and aortic regurgitation with thoracic endovascular aortic repair and aortic valve replacement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758586/
https://www.ncbi.nlm.nih.gov/pubmed/33391560
http://dx.doi.org/10.3400/avd.cr.20-00040
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