Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach

We describe the management of three patients with coarctation of aorta (COA) associated with valvular heart disease. All the three patients underwent initial balloon dilatation following which they underwent surgical correction of the valvular pathology. Staged approach in such diseases has better o...

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Main Authors: Ankit Jain, Prerit Agarwal, Subodh Satyarthy, Kuber Sharma, Muhammed A Geelani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:MAMC Journal of Medical Sciences
Subjects:
Online Access:http://www.mamcjms.in/article.asp?issn=2394-7438;year=2018;volume=4;issue=3;spage=137;epage=141;aulast=Jain
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author Ankit Jain
Prerit Agarwal
Subodh Satyarthy
Kuber Sharma
Muhammed A Geelani
author_facet Ankit Jain
Prerit Agarwal
Subodh Satyarthy
Kuber Sharma
Muhammed A Geelani
author_sort Ankit Jain
collection DOAJ
description We describe the management of three patients with coarctation of aorta (COA) associated with valvular heart disease. All the three patients underwent initial balloon dilatation following which they underwent surgical correction of the valvular pathology. Staged approach in such diseases has better outcome in terms of morbidity and mortality. Both single-stage and two stage operations can be used. As surgical correction of COA is frequently associated with potential complications, we adopted the staged approach for better results. Background COA with valvular heart disease is generally a rare combination. Both these entities require correction which can be done simultaneously or as staged procedure. Objective To study the outcome of staged procedures in such patients. Materials and Methods We managed 3 patients with COA associated with valvular heart disease. Results All the 3 patients had uneventful post operative recovery. At the time of discharge gradients were <20 mm Hg across the coarctated segment. Post operative echocardiography (echo) after 3 months on follow up were normal. Conclusion Simultaneous surgical correction of COA along with valvular heart disease is associated with potential surgical and anesthetic complications. Hence staged procedures are preferred if the anatomy of coarctation is feasible for endovascular correction.
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spelling doaj.art-2c1d619305434b31af46d4d095936eee2022-12-22T00:23:24ZengWolters Kluwer Medknow PublicationsMAMC Journal of Medical Sciences2394-74382018-01-014313714110.4103/mamcjms.mamcjms_41_18Coarctation of Aorta With Valvular Heart Disease: A Hybrid ApproachAnkit JainPrerit AgarwalSubodh SatyarthyKuber SharmaMuhammed A GeelaniWe describe the management of three patients with coarctation of aorta (COA) associated with valvular heart disease. All the three patients underwent initial balloon dilatation following which they underwent surgical correction of the valvular pathology. Staged approach in such diseases has better outcome in terms of morbidity and mortality. Both single-stage and two stage operations can be used. As surgical correction of COA is frequently associated with potential complications, we adopted the staged approach for better results. Background COA with valvular heart disease is generally a rare combination. Both these entities require correction which can be done simultaneously or as staged procedure. Objective To study the outcome of staged procedures in such patients. Materials and Methods We managed 3 patients with COA associated with valvular heart disease. Results All the 3 patients had uneventful post operative recovery. At the time of discharge gradients were <20 mm Hg across the coarctated segment. Post operative echocardiography (echo) after 3 months on follow up were normal. Conclusion Simultaneous surgical correction of COA along with valvular heart disease is associated with potential surgical and anesthetic complications. Hence staged procedures are preferred if the anatomy of coarctation is feasible for endovascular correction.http://www.mamcjms.in/article.asp?issn=2394-7438;year=2018;volume=4;issue=3;spage=137;epage=141;aulast=JainBalloon angioplastycoarctation of aortavalvular heart disease
spellingShingle Ankit Jain
Prerit Agarwal
Subodh Satyarthy
Kuber Sharma
Muhammed A Geelani
Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach
MAMC Journal of Medical Sciences
Balloon angioplasty
coarctation of aorta
valvular heart disease
title Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach
title_full Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach
title_fullStr Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach
title_full_unstemmed Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach
title_short Coarctation of Aorta With Valvular Heart Disease: A Hybrid Approach
title_sort coarctation of aorta with valvular heart disease a hybrid approach
topic Balloon angioplasty
coarctation of aorta
valvular heart disease
url http://www.mamcjms.in/article.asp?issn=2394-7438;year=2018;volume=4;issue=3;spage=137;epage=141;aulast=Jain
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AT kubersharma coarctationofaortawithvalvularheartdiseaseahybridapproach
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