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Internal mammary artery dilatation in a patient with aortic coarctation, aortic stenosis, and coronary disease. Case report.

Alvarez JR, Lopez LR, Quiroga JS, Martinez Comendador JM, Martinez-de-Alegria A, Martinez Cereijo JM, Dominguez CD - J Cardiothorac Surg (2011)

Bottom Line: The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention.However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications.We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiac Surgery, Universitary Hospital Santiago de Compostela (CHUS), SERGAS Travesia Choupana SN Santiago de Compostela, 15706 La Coruña, Spain.

ABSTRACT
The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications. We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

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Related in: MedlinePlus

Computerized tomography with volume rendering reconstruction showing the vascular graft between the ascending aorta and descending thoracic aorta. The aortic coarctation is visualized.
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Figure 3: Computerized tomography with volume rendering reconstruction showing the vascular graft between the ascending aorta and descending thoracic aorta. The aortic coarctation is visualized.

Mentions: A volume rendering reconstruction of the postoperative computerized tomography scan showed a vascular graft between the ascending aorta and descending thoracic aorta and the aortic coarctation (Figure 3) and the bypass to the left anterior descending coronary artery (Figure 4).


Internal mammary artery dilatation in a patient with aortic coarctation, aortic stenosis, and coronary disease. Case report.

Alvarez JR, Lopez LR, Quiroga JS, Martinez Comendador JM, Martinez-de-Alegria A, Martinez Cereijo JM, Dominguez CD - J Cardiothorac Surg (2011)

Computerized tomography with volume rendering reconstruction showing the vascular graft between the ascending aorta and descending thoracic aorta. The aortic coarctation is visualized.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3094377&req=5

Figure 3: Computerized tomography with volume rendering reconstruction showing the vascular graft between the ascending aorta and descending thoracic aorta. The aortic coarctation is visualized.
Mentions: A volume rendering reconstruction of the postoperative computerized tomography scan showed a vascular graft between the ascending aorta and descending thoracic aorta and the aortic coarctation (Figure 3) and the bypass to the left anterior descending coronary artery (Figure 4).

Bottom Line: The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention.However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications.We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiac Surgery, Universitary Hospital Santiago de Compostela (CHUS), SERGAS Travesia Choupana SN Santiago de Compostela, 15706 La Coruña, Spain.

ABSTRACT
The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications. We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy.

Show MeSH
Related in: MedlinePlus