Sep 1, 1977

Coarctation of the aorta and severe aortic insufficiency: What to repair first?

American Journal of Surgery
J J RufilanchasD Figuera

Abstract

A new surgical approach is proposed for patients with coarctation of the aorta associated with severe aortic valvular insufficiency. The valvular lesion should be repaired first and the coarctation corrected during a second operation; both interventions should be done during the same hospital stay. We base our approach on the belief that improved coronary perfusion can be achieved when the aortic insufficiency is corrected first. The disadvantages of the opposite surgical approach, such as anticoagulation problems, renal underperfusion, and hypertensive complications are easily avoided.

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Citations

Mentioned in this Paper

Coronary Circulation
Coarctation of Aorta Dominant
Negative Regulation of Coagulation
Regional Blood Flow
Kidney
Decreased Coagulation Activity [PE]
Teens
Aorta
Heart
Aortic Valve Insufficiency

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