Abstract
We report a 26-year-old man with critical aortic coarctation, severe bicuspid aortic valve stenosis, infective endocarditis and ascending aortic aneurysm. He underwent simultaneously in singlestage a Bentall’s procedure and an extra-anatomic ascending-descending aortic bypass grafting by 14-mm Dacron tube, through median sternotomy. The immediate postoperative outcome was favourable. The CT scan control for 7 years after surgery showed a good patency of the extra-anatomic bypass.
Highlights
Case ReportWe report a 26-year-old man with a recently discovered hypertension, admitted in our hospital for invalidating shortness of breath, congestive heart failure and fever
The surgical management of uncorrected Aortic Coarctation (AC), seen in the adulthood, is difficult because of 2
We report a 26-year-old man with a recently discovered hypertension, admitted in our hospital for invalidating shortness of breath, congestive heart failure and fever
Summary
We report a 26-year-old man with a recently discovered hypertension, admitted in our hospital for invalidating shortness of breath, congestive heart failure and fever. The transthoracic echocardiography revealed an aortic coarctation with a 60 mmHg gradient, and showed an Ascending Aortic Aneurysm (AAA). The aortic root and the valsalva sinus measured respectively 60 and 45mm in diameter. It revealed a Bicuspid Aortic Valve (BAV) with a severe Aortic Stenosis (AS) and a 3+ Aortic Regurgitation (AR) with an abscess of aortic annulus, vegetations and valvular lesions indicating an infective endocarditis. The CT scan showed a critical coarctation of the aortic isthmus, distal to the left subclavian artery simulating a quasi-interruption of the aorta with an internal diameter less than 1mm and very well developed collateral circulation. The Cardio-pulmonary bypass (CPB) was established by arterial cannulation of the ascending aorta and the left femoral artery to enable whole-body perfusion during CPB. There was no change in collateral arteries (Figure 2)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
