心血管疾患と診断

Hybrid Treatment of Multilevel Aortic Disease in an Adolescent :A Case Report

Abstract

Giselle Rowlinson, Darryl F Shore, Maziar Mireskandari, Nick J Cheshire, Michael Rigby and Inga Voges

Bicuspid aortic valve is a common congenital defect associated with several other pathological processes. We describe a complex case in a 13-year-old boy where there was significant aortic valve insufficiency and a severely dilated ascending aorta. In addition, there was complex coarctation of the aorta in which both subclavian arteries arose from the coarctation site. A hybrid bilateral carotid-subclavian bypass grafting with coarctation stenting procedure was performed followed by a modified Bentall procedure. This case illustrates a successful two-stage, hybrid technique in a late-diagnosed paediatric patient.