• Luka Novosel, Dražen Perkov, Savko Dobrota, Vedran Ćorić, and Ranka Štern Padovan.
• Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia.
• Ann Vasc Surg. 2014 Feb 1; 28 (2): 494.e9-14.

AbstractWe report a case of a staged surgical and endovascular management in a 62-year-old woman with aortic coarctation associated with aortic valve stenosis and mitral regurgitation. The patient was admitted for severe aortic valve stenosis and mitral valve incompetence. During hospitalization and preoperative imaging, a previously undiagnosed aortic coarctation was discovered. The patient underwent a 2-stage approach that combined a Bentall procedure and mitral valve replacement in the first stage, followed by correction of the aortic coarctation by percutaneous placement of an Advanta V12 large-diameter stent graft (Atrium, Mijdrecht, The Netherlands) which to our knowledge has not been used in an adult patient with this combination of additional cardiac comorbidities. A staged approach combining surgical treatment first and endovascular placement of an Advanta V12 stent graft in the second stage can be effective and safe in adult patients with coarctation of the aorta and additional cardiac comorbidities.Copyright © 2014 Elsevier Inc. All rights reserved.

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