Proximal Descending Thoracic Aorta Removal of a Coarctation Stent With Aortic Root Replacement

Abstract

Coarctation of the aorta is a common congenital cardiac abnormality, largely diagnosed early in life. Many patients undergo surgical intervention, and up to half of them will require reintervention at some point. This study presents a 27-year-old man with a history of a bicuspid aortic valve and aortic coarctation previously treated with endovascular stenting at 16 years of age. He subsequently developed an aortic root aneurysm with mild residual coarctation with a post-stenotic dilatation. The purpose of this poster is to outline a novel technique for operative repair of an adult coarctation with explantation of a thoracic stent graft, with an open aortic repair of an aortic coarctation with aortic root replacement, using 27/29mm On-X mechanical valved conduit.