Coarctation of the aorta and severe aortic insufficiency: What to repair first?

Abstract:

:A new surgical approach is proposed for patients with coarctation of the aorta associated with severe aortic valvular insufficiency. The valvular lesion should be repaired first and the coarctation corrected during a second operation; both interventions should be done during the same hospital stay. We base our approach on the belief that improved coronary perfusion can be achieved when the aortic insufficiency is corrected first. The disadvantages of the opposite surgical approach, such as anticoagulation problems, renal underperfusion, and hypertensive complications are easily avoided.

journal_name

Am J Surg

authors

Rufilanchas JJ,Villagra F,Maroñas JM,Tellez G,Agosti J,Juffe A,Figuera D

doi

10.1016/0002-9610(77)90424-x

subject

Has Abstract

pub_date

1977-09-01 00:00:00

pages

428-30

issue

3

eissn

0002-9610

issn

1879-1883

pii

0002-9610(77)90424-X

journal_volume

134

pub_type

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