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  • Title: Combined aortic valve replacement and extra-anatomic aorta ascending-descending bypass for recurrent aortic coarctation.
    Author: Bigdeli AK, Schmitz C, Kaczmarek I, Schmauss D, Wintersperger B, Reichart B, Sodian R.
    Journal: Ann Thorac Surg; 2010 Apr; 89(4):e22-4. PubMed ID: 20338296.
    Abstract:
    Aortic recoarctation may be difficult to manage, especially in patients with the need for additional surgical interventions. We describe the case of a 45-year-old man with grown-up congenital heart disease, presenting with recoarctation after initial anatomic repair with a prosthetic graft at the age of 16 years. Further examination revealed heart failure and left ventricular dilation because of severe aortic regurgitation, owing to a bicuspid aortic valve. Through a median sternotomy and CPB, an aortic valve replacement and extra-anatomic ascending-to-descending aortic-bypass-grafting was performed with a posterior pericardial approach. Off-pump coronary artery bypass techniques were applied to reach the descending aorta.
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