2023, Number 4
Cardiovasc Metab Sci 2023; 34 (4)
Coarctation of the aorta associated with bicuspid aortic valve complicated by aortic aneurysm dissection
Sánchez-Amaya, David Jacobo; Godínez-Córdova, Luis Benjamín; López-Lizárraga, Miguel Ángel; Araiza-Garaygordobil, Diego; Arias-Mendoza, Alexandra
ABSTRACT
Coarctation of the aorta is a congenital disorder that affects not only the aorta but also might be associated with bicuspid aortic valve disease and predisposes to aortic syndromes. We report the case of a 28-year-old patient with secondary hypertension due to post-ductal aortic coarctation associated with a complicated bicuspid aortic valve and chronic dissection of the ascending aorta. The coexistence of aortic valve disease, as well as multiple aortic conditions is a rare situation that requires highly specialized evaluation to ensure a favorable outcome. Treatment was established in two phases: aortoplasty with stent placement and then aortic and valvular replacement surgery, with a favorable recovery.