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Case Reports

Single-Stage Repair of Acute Type A Aortic Dissection Associated With Aortic Coarctation, Perimembranous Ventricular Septal Defect, and Bicuspid Aortic Valve

Cemal Levent Birincioglu, MD, Levent Mavioglu, MD^_*, Soner Yavas, MD, Ertan Demirtas, MD, Garip Altntas, MD, Hakki Zafer Iscan, MD

Departmant of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey

Accepted for publication December 17, 2007.

^_* Address correspondence to Dr Mavioglu, Teras Evler Sitesi D Blok No. 49, 06550 Oran, Ankara, Turkey (Email: leventmavioglucvs{at}gmail.com).

A 17-year-old man with coarctation of the thoracic aorta, bicuspid aortic valve, perimembranous ventricular septal defect, and acute type A dissection of the ascending aorta underwent emergency repair for dissection by means of single-stage replacement of not only the aortic valve and ascending aorta, but also simultaneous repair of the coarctation by graft interposition. These combined conditions comprised some difficulties that included decisions on the optimal timing and sequence of surgical repair, technique, and circulatory support.