JACC. Case reports · 2025
Aortic Valve Stenosis and Insufficiency Combined With Aortic Coarctation.
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Hu Tao, Tu Weiling, Li Linfeng
Аннотация
BACKGROUND: The coexistence of aortic valve stenosis and regurgitation with native coarctation is a rare and complex condition in adults, especially those with significant surgical risks, complicating management.
CASE SUMMARY: A 60-year-old male with poorly controlled hypertension, chronic kidney disease, and atrial fibrillation presented with progressive dyspnea and chest tightness. Echocardiography revealed a bicuspid aortic valve with moderate stenosis and regurgitation, reduced ejection fraction, and left ventricular dilation. Computed tomography showed near-occlusive coarctation of the descending aorta. Given high surgical risk, conventional surgery was deemed unfeasible.
DISCUSSION: A single-session transcatheter "one-stop" approach, combining balloon angioplasty, aortic valve replacement, and stent implantation, was performed, resulting in immediate hemodynamic improvement.
TAKE-HOME MESSAGE: A unified, single-session transcatheter strategy offers a safe and effective alternative for high-risk patients with aortic valve disease and coarctation.
CASE SUMMARY: A 60-year-old male with poorly controlled hypertension, chronic kidney disease, and atrial fibrillation presented with progressive dyspnea and chest tightness. Echocardiography revealed a bicuspid aortic valve with moderate stenosis and regurgitation, reduced ejection fraction, and left ventricular dilation. Computed tomography showed near-occlusive coarctation of the descending aorta. Given high surgical risk, conventional surgery was deemed unfeasible.
DISCUSSION: A single-session transcatheter "one-stop" approach, combining balloon angioplasty, aortic valve replacement, and stent implantation, was performed, resulting in immediate hemodynamic improvement.
TAKE-HOME MESSAGE: A unified, single-session transcatheter strategy offers a safe and effective alternative for high-risk patients with aortic valve disease and coarctation.