Coarctation of the aorta associated with bicuspid aortic valve complicated by aortic aneurysm dissection

• Published in: Cardiovascular and metabolic science Vol. 34; no. 4; pp. 159 - 164
• Main Authors: Sánchez-Amaya, David Jacobo, Godínez-Córdova, Luis Benjamín, López-Lizárraga, Miguel Ángel, Araiza-Garaygordobil, Diego, Arias-Mendoza, Alexandra
• Format: Journal Article
• Language: English; Portuguese
• Published: Asociación Nacional de Cardiólogos de México A.C 01.12.2023
• Subjects: Cardiac & Cardiovascular Systems; disección aórtica crónica; válvula aórtica bicúspide; ascending aortic aneurysms; bicuspid aortic valve; coartación aórtica; coarctation of the aorta; aneurisma aorta ascendente; chronic aortic dissection
• ISSN: 2954-3835; 2954-3835
• DOI: 10.35366/113864

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.