Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement

Ryuta Seguchi; Takafumi Horikawa; Ryuta Kiuchi; Junichiro Sanada; Hiroshi Ohtake; Go Watanabe

doi:10.3400/avd.cr.20-00040

Successful Two-Stage Treatment for Coarctation of the Aorta-postductal Type and Aortic Regurgitation with Thoracic Endovascular Aortic Repair and Aortic Valve Replacement

Ann Vasc Dis. 2020 Dec 25;13(4):414-417. doi: 10.3400/avd.cr.20-00040.

Authors

Ryuta Seguchi¹, Takafumi Horikawa¹, Ryuta Kiuchi¹, Junichiro Sanada², Hiroshi Ohtake², Go Watanabe¹

Affiliations

¹ Department of Cardiovascular Surgery, New Heart Watanabe International Institute, Tokyo, Japan.
² Department of Vascular Surgery, Ageo Central General Hospital, Saitama, Japan.

Abstract

We herein report a case of a 20-year-old man with aortic regurgitation (AR), coarctation of the aorta (CoA), and patent ductus arteriosus (PDA). The preoperative ankle-brachial pressure index was 0.56 in bilateral extremities. Enhanced computed tomography revealed CoA-postductal type. We decided to perform a two-stage surgery: thoracic endovascular aortic repair (TEVAR) for CoA and PDA and then open surgery for AR. TEVAR was successfully performed with deployment of the stent graft at a 31-mm diameter subsequent to balloon dilation. At 8 days after TEVAR, the patient underwent aortic valve replacement via median sternotomy and was discharged without a complication.

Keywords: coarctation of aorta; covered stent; thoracic endovascular aortic repair.