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)
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