Percutaneous repair of aortic coarctation: Bridging the gap to surgical repair

Ryan Wallace , Ryan Kabir , Benjamin B. Kenigsberg , Monvadi B. Srichai , Christian C. Shults , Michael Slack , Toby Rogers
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Abstract

A 39-year-old man with a history of bicuspid aortic valve and limited medical follow up presented with cardiogenic shock. He was discovered to have aortic coarctation, for which he underwent percutaneous endovascular intervention to optimize hemodynamics and lower surgical risk prior to aortic valve and aortic arch replacement. This case highlights the role of a heart team approach when managing critically ill patients with bicuspid aortic valve disease and associated aortopathies.
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经皮主动脉缩窄修复:弥合手术修复的差距
39岁男性,有二尖瓣主动脉瓣病史,医学随访有限,出现心源性休克。患者被发现主动脉缩窄,在主动脉瓣和主动脉弓置换术之前,他接受了经皮血管内介入治疗以优化血流动力学,降低手术风险。本病例强调了心脏团队入路在治疗患有二尖瓣主动脉瓣疾病和相关主动脉病变的危重患者中的作用。
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