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Combined Therapy of Coarctation and Coronary Heart Disease in an Adult
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1993
Year
Adult Cardiac SurgeryHeart FailureCardiac AnaesthesiaEndovascular TechniqueSurgeryCoronary Artery DiseaseAcute Myocardial InfarctionThrombosisCase GraftsSpinal-cord DamageCombined TherapyCoronary Bypass GraftingVascular SurgeryEndovascular ManagementCardiologyAtherosclerosisCardiothoracic SurgeryMyocardial InfarctionPercutaneous Coronary InterventionSpinal Cord InjuryCardiac CareCoronary Heart DiseaseCardiovascular DiseaseThoracic SurgeryArterial DiseaseMedicineEmergency MedicineAnesthesiology
The association of aortic coarctation and ischaemic cardiopathy is rare. We present a case of such an association in a 58-year-old patient with established spinal-cord damage and describe a one-stage surgical approach for the correction of both pathologies. Coarctation is solved by means of a supracoeliac to thoracic aortic bypass, and then coronary bypass grafting is performed under CPB. In this case grafts were carried out using the left internal mammary artery (IMA) even though it was hypertrophied. There were no postoperative complications and at 10 months the patient was asymptomatic.