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Ann Thorac Surg 2000;70:2153-2154
© 2000 The Society of Thoracic Surgeons

Case report

Hybrid management of coronary artery disease and coarctation of aorta

Patrick Yiu, PhDa, Ulrich Sigwart, FRCPb, John R. Pepper, FRCSa

a Department of Surgery, Royal Brompton Hospital, London, England, UK
b Department of Invasive Cardiology, Royal Brompton Hospital, London, England, UK

Accepted for publication March 20, 2000.

Address reprint requests to Dr Yiu, Department of Surgery, Royal Brompton Hospital, Sydney St, London, England SW3 6NP
e-mail: patrickyiu{at}visto.com

The treatment of coarctation of aorta with an additional cardiac lesion in adults remains a difficult surgical challenge. We present here an alternative, two-stage, hybrid approach that combined stent repair of aortic coarctation followed by coronary artery bypass operation in an adult with critical coronary lesions and a poor ventricle. This method may be a potentially useful strategy in reducing the comorbidity of operation to both lesions.




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