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Stenting of aortic coarctation before coronary artery bypass surgery in an adult with acute myocardial infarction: a case report.
- Source :
- European Heart Journal Case Reports; Jul2024, Vol. 8 Issue 7, p1-5, 5p
- Publication Year :
- 2024
-
Abstract
- Background Aortic coarctation is a major risk factor for high blood pressure and atherosclerotic disease development. Evidence is lacking regarding the treatment of acute coronary syndrome in patients with untreated aortic coarctation. Case summary A 50-year-old male with a history of hypertension, diabetes, and haemodynamically significant untreated aortic coarctation presented to the emergency department with non-ST-elevation acute myocardial infarction. Coronary catheterization showed severe three-vessel disease. The aortic coarctation was addressed percutaneously using a covered CP stent. A quadruple coronary artery bypass surgery was conducted the following day. He was discharged home 10 days after surgery. Discussion We describe a successful sequential approach involving the percutaneous repair of a native aortic coarctation followed by a surgical myocardial revascularization in the context of acute coronary syndrome. Discussion within a multidisciplinary Heart Team is key in patients with such complexity. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 25142119
- Volume :
- 8
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- European Heart Journal Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 178813517
- Full Text :
- https://doi.org/10.1093/ehjcr/ytae330