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Ann Thorac Surg 2001;71:713-715
© 2001 The Society of Thoracic Surgeons

Case report

Interventional and surgical management of aortic stenosis and coarctation

Alan G. Magee, MRCPa,b, Christopher I. Blauth, FRCSa,b, Shakeel A. Qureshi, FRCPa,b

a Department of Pediatric Cardiology, Guy’s Hospital, London, England, UK
b Department of Cardiothoracic Surgery, St Thomas Hospital, London, England, UK

Accepted for publication April 6, 2000.

Address reprint requests to Dr Magee, Department of Pediatric Cardiology, Royal Brompton and Harefield NHS Trust, Sydney St, London SW3 6NP, England
e-mail: a.magee{at}rbh.nthames.nhs.uk

Two patients, aged 42 and 44 years old, presented with the combination of aortic valve stenosis and coarctation. To avoid potential problems associated with one stage repair, both patients underwent successful endovascular stent implantation for coarctation followed within 2 weeks by aortic valve replacement using pulmonary autografts (Ross operation). Spiral thoracic computed tomographic scans were performed within 1 week of stent implantation to ensure the absence of aneurysm formation related to the stent before cardiopulmonary bypass.




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