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

Ryuta Seguchi; Takafumi Horikawa; Ryuta Kiuchi; Junichiro Sanada; Hiroshi Ohtake; Go Watanabe

doi:10.3400/avd.cr.20-00040

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

Ryuta Seguchi , Takafumi Horikawa, Ryuta Kiuchi, Junichiro Sanada, Hiroshi Ohtake, Go Watanabe

著者情報

キーワード: coarctation of aorta, thoracic endovascular aortic repair, covered stent

ジャーナルオープンアクセス早期公開

論文ID: cr.20-00040

DOI https://doi.org/10.3400/avd.cr.20-00040

この記事には本公開記事があります。

The final version of this article is now available: Vol. 13 (2020), No. 4 pp. 414-417

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抄録

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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