Two Staged Surgical Treatment of Aortic Coarctation Accompanied by Aortic Stenosis in a 63-Year-Old Patient

Abstract

Aortic coarctation is a congenital vascular lesion, usually diagnosed and corrected in childhood or early adulthood. Most of the untreated patients with aortic coarctation die before the age of 50 years. Coarctation with cardiac lesions is a complex clinical situation that necessitates surgical treatment of different pathologies with different strategies. In this, study we report two-staged surgical treatment of aortic coarctation with severe aortic stenosis consist of aortic valve replacement and aorto-subclavian bypass in a 63-year-old male patient.

Keywords

• Aortic coarctation
• aortic valve replacement
• congenital heart disease

63 Yaşındaki Hastada Aort Stenozunun Eşlik Ettiği Aort Koarktasyonunun İki Aşamalı Cerrahi Tedavisi

Abstract

Aort koarktasyonu genellikle çocuklukta ve ergenliğin erken dönemlerinde teşhis edilen ve düzeltilen konjenitalvasküler bir lezyondur. Aort koarktasyonu olan ve tedavi edilmeyen hastaların çoğu 50 yaşından önce ölür. Koarktasyonun, kardiyak lezyonlarla birliktelik gösterdiği durumlar, farklı patolojilerin farklı stratejilerle cerrahi tedavisini gerektiren karmaşık bir klinik durumdur. Bu çalışmada 63 yaşındaki erkek hastada ciddi aort stenozunun eşlik ettiği aort koarktasyonunun, aort kapak replasmanı ve aorto-subklaviyan baypastan oluşan iki aşamalı cerrahi tedavisini sunduk.

Keywords

• Aort koarktasyonu
• aort kapak replasmanı
• konjenital kalp hastalığı

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