Co-Existence of Severe Coarctation of the Aorta and Aortic Valve Stenosis in a 65-Year-Old Woman: A Case Report

Onohara, Daisuke; Sato, Aiko; Tasaki, Yuichi; Yamada, Takafumi

doi:10.5761/atcs.cr.13-00216

Cited by 2 publications

(2 citation statements)

References 15 publications

(14 reference statements)

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“…Long-term survivors are at risk for aortic and mitral valve dysfunction, aortic aneurysm, aortic dissection, endocarditis, systemic hypertension, heart failure, and sudden death ( 8 ). The combination of symptomatic severe aortic stenosis and CoA in more than 60-year-old patients is a rare clinical entity ( 9 , 10 ). Progressive aortic valve dysfunction in patients with CoA place patients at increased risk for morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

One-stop interventional procedure for bicuspid aortic stenosis in a patient with coexisting aortic coarctation: a case report

Dhuromsingh²,

Liu

et al. 2023

Front. Cardiovasc. Med.

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IntroductionCoarctation of the aorta (CoA) is usually diagnosed and corrected early in life. Most untreated patients with CoA usually die before 50 years of age. Adult patients with concomitant CoA and severe bicuspid aortic stenosis are relatively rare and present complex management challenges without standard guidelines.Case summaryA 63-year-old female patient with uncontrolled hypertension was admitted due to chest pain and dyspnea upon exertion (NYHA grades III). Echocardiogram showed a severely calcified and stenotic bicuspid aortic valve (BAV). A severe stenotic calcified eccentric aortic coarctation 20 mm distal to the left subclavian artery (LSA) was discovered by computed tomography (CT) angiography. Following consultation with the cardiac team and patient willingness, we performed a one-stop interventional procedure to repair both defects. First, a cheatham-platinum (CP) stent was implanted via the right femoral access, immediately distal to the LSA. Due to the markedly twisted and angled descending aortic arch, we chose to perform transcatheter aortic valve replacement (TAVR) via the left common carotid artery. The patient was discharged and followed up for 1 year without symptoms.DiscussionAlthough surgery is still the main treatment for these diseases, it is not suitable for high-risk surgical patient. Transcatheter intervention for patients with severe aortic stenosis complicated with CoA simultaneously is rarely reported. The success of this procedure depends on the patient's vascular condition, the skills of the heart team, and the availability of the technical platform.ConclusionOur case report demonstrates the feasibility and efficacy of a one-stop interventional procedure in an adult patient with concurrent severely calcified BAV and CoA via two different vascular approaches. Transcatheter intervention, in contrast to traditional surgical approaches or two-stop interventional procedures, as a minimally invasive and novel method, offers a wider range of therapeutic methods for such diseases.

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Section: Discussionmentioning

confidence: 99%

One-stop interventional procedure for bicuspid aortic stenosis in a patient with coexisting aortic coarctation: a case report

Dhuromsingh²,

Liu

et al. 2023

Front. Cardiovasc. Med.

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show abstract

“…Survival greater than 65 years is extremely rare and few cases have been reported in the literature. 2 We report the case of a 68 year-old woman with history of resistant hypertension since early adulthood who presented progressive dyspnea during the last two years.…”

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confidence: 99%

Complex aortic coarctation and a bicuspid aortic valve with severe stenosis in a 68 year-old woman

Arroyo-Rodríguez¹,

Molina-Cancino²,

Arias-Navarro³

et al. 2018

Archivos de Cardiología de México

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Co-Existence of Severe Coarctation of the Aorta and Aortic Valve Stenosis in a 65-Year-Old Woman: A Case Report

Cited by 2 publications

References 15 publications

One-stop interventional procedure for bicuspid aortic stenosis in a patient with coexisting aortic coarctation: a case report

One-stop interventional procedure for bicuspid aortic stenosis in a patient with coexisting aortic coarctation: a case report

Complex aortic coarctation and a bicuspid aortic valve with severe stenosis in a 68 year-old woman

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