ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Kevin G. Watterson
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mulay, A. V.
Right arrow Articles by Watterson, K. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mulay, A. V.
Right arrow Articles by Watterson, K. G.

Ann Thorac Surg 1997;64:1309-1311
© 1997 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Two-Stage Repair of Adult Coarctation of the Aorta With Congenital Valvular Lesions

Anvay V. Mulay, MCh, Saeed Ashraf, FRCS, Kevin G. Watterson, FRACS

Department of Cardiothoracic Surgery, Killingbeck Hospital, Leeds, United Kingdom

Accepted for publication May 10, 1997.

Background. Coarctation of the aorta associated with intracardiac pathologic conditions presenting in adult life poses some technical and management challenges. When deciding on the best surgical strategy, the surgeon must pay careful attention to the changes that will occur in the circulation.

Methods. In our small series of 3 patients, the intracardiac pathologic lesions were corrected first, and the coarctation was repaired as a second-stage procedure 2 to 3 months later.

Results. All patients had an uneventful recovery from both operations. The potential problems of renal impairment caused by inadequate perfusion during bypass and perioperative systemic hypertensive complications resulting from coarctation of the aorta were not observed. At the time of coarctation repair as a second-stage procedure, anticoagulation was easily controlled. All 3 patients had short intensive care unit and hospital stays.

Conclusions. Staged surgical repair of this complex pathologic combination in adult patients is a safe option and is easy to manage perioperatively.




This article has been cited by other articles:


Home page
 HeartHome page
J W Roos-Hesselink, B E Scholzel, R J Heijdra, S E C Spitaels, F J Meijboom, E Boersma, A J J C Bogers, and M L Simoons
Aortic valve and aortic arch pathology after coarctation repair
Heart, September 1, 2003; 89(9): 1074 - 1077.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
H. M. Connolly, H. V. Schaff, U. Izhar, J. A. Dearani, C. A. Warnes, and T. A. Orszulak
Posterior Pericardial Ascending-to-Descending Aortic Bypass: An Alternative Surgical Approach for Complex Coarctation of the Aorta
Circulation, September 18, 2001; 104 (2009): I-133 - I-137.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
U. Izhar, H. V. Schaff, C. J. Mullany, R. C. Daly, and T. A. Orszulak
Posterior pericardial approach for ascending aorta-to-descending aorta bypass through a median sternotomy
Ann. Thorac. Surg., July 1, 2000; 70(1): 31 - 37.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. C. Clark, J. Zacharias, J.R. L. Hamilton, and A. Hasan
Coarctation with valvular lesions in adults
Ann. Thorac. Surg., August 1, 1998; 66(2): 600 - 601.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. Musumeci and W. J. Penny
Aortic coarctation associated with aortic or mitral valve disease: which lesion to correct first?
Ann. Thorac. Surg., August 1, 1998; 66(2): 603 - 604.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1997 by The Society of Thoracic Surgeons.