Journal «Angiology and Vascular Surgery» • 

2019 • VOLUME 25 • №3

Aortic valve replacement in a patient with extra-anatomic aortic and subclavian bypasses

Raluca Weber1, Gerrit Kaleschke2, Henryk Welp1, Sven Martens1, Andreas Rukosujew1

1) Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University Hospital Muenster,
2) Adult Congenital and Valvular Heart Disease Center, University Hospital Muenster, Muenster, Germany

The patient was 62-year-old male who successfully underwent an anatomic repair of aortic coarctation at the age of 15 and an extra-anatomic ascending aorta- to-descending aorta bypass (graft size 20 mm) and an extra-anatomic ascending aorta to the left subclavian artery bypass (graft size 10 mm) at the age of 49. As he grew older he started presenting clinical symptoms of aortic stenosis. The echocardiogram showed a bicuspid aortic valve with severe stenosis and a mean gradient of 65 mm Hg. Despite the high surgical risk, we decided to perform an open valve replacement with installing the CPB prior to re-sternotomy with a simultaneous cannulation of the axillary and femoral arteries by reason of interrupted descending aorta. The postoperative course was uneventful.

KEY WORDS: coarctation, aortic valve replacement, extra-anatomic ascending aorta-to-descending aorta bypass, adults.

P. 160-162

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