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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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Series: | MAMC Journal of Medical Sciences |
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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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format | Article |
id | doaj.art-2c1d619305434b31af46d4d095936eee |
institution | Directory Open Access Journal |
issn | 2394-7438 |
language | English |
last_indexed | 2024-12-12T13:16:32Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | MAMC Journal of Medical Sciences |
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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