A single stage approach to ascending aortic aneurysm and coarctation: Feasibility and challenges

Abstract

Introduction: Bicuspid Aortic Valve related aortopathy is known to be associated with ascending aortic aneurysm and coarctation of aorta. Surgical correction of the combined entity as a double stage procedure has its own set of challenges.Single stage repair for the same has been tried since 1980 with variable success rates. Placement of extra anatomic bypass graft for coarctation repair in different orientations have been discussed in the literature but whether the procedure is feasible without any undue risks when combined with the surgical correction of the aortic root and ascending aorta pathology is a subject of debate.Surgical Technique: Under routine cardiopulmonary bypass, a combined procedure was performed in three patients with ascending aortic aneurysm and coarctation of aorta. The procedure involved the combination of Bentall or supracoronary ascending aorta replacement and a ventral aorta repair.Discussion: We, here, examined the feasibility of such a single stage repair done in three patients and discuss the challenges faced by the surgical team with respect to the procedure and the post-operative care. K E Y W O R D Saorta and great vessels, congenital heart disease