CASE REPORTS   

Chirurgia 2012 December;25(6):461-3

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Axillofemoral bypass operation after coronary and aortic valve surgery as an emergent management for aortic coarctation

Ozerdem G. ¹, Hidiroglu M. ², Kucuker A. ², Cetin L. ², Kunt A. ², Ozcinar E. ³

¹ Cardiovascular Surgery Department, Kayseri Ozel Sevgi Hospital, Kayseri, Turkey; ² Cardiovascular Surgery Department, Ataturk Training and Research Hospital, Ankaram Turkey; ³ Cardiovascular Surgery Department, Malatya Government Hospital, Malatya, Turkey

The management of aortic coarctation combined with complex cardiac diseases is controversial and pose a clinical challenge. There is not a consensus about the optimal surgical strategy at the present time. The preferred surgical strategy seems to be single stage approach repairing the cardiac pathology and performing an extra-anatomic bypass from the ascending aorta, subclavian or axillary arteries to the descending thoracic aorta, infrarenal abdominal aorta, or femoral artery for the coarctation reparation. The presented case of coarctation of aorta with acute chest pain due to coronary artery disease associated with severe aortic valve disease may offer an alternative treatment option for these complex pathologies with a new point of view.