eComment. Ascending-descending aortic bypass in patients with complex aortic coarctation.

single-stage or a two-stage procedure using hybrid techniques. Aortic valve replacement 2 weeks after stent implantation to the coarctation has been reported [21]. This technique necessitates an additional general anaesthetic procedure and lengthens the hospital stay. We performed a hybrid technique in three patients with coarctation and accompanying cardiac lesions. After stent deployment, we operated on the cardiac pathology in the same procedure using conventional techniques without any complications. The mean operation time was longer than the cardiac procedure for the two-staged patients. However, two-stage techniques necessitate a coarctation operation with a second general anaesthetic procedure. The coarc-tation and associated lesions might be repaired in the same session with one general anaesthetic procedure, thereby reducing the length of hospital stay and cost. The limitation of this study is its retrospective nature, which might cause a challenge to our algorithm. Aortic coarctation and accompanying lesions are very rare clinical cases. The decision concerning the surgical procedure to be employed is the most important step in treatment of these patients. In this article, we share our experience and our conclusions by evaluating these 25 cases. Various strategies could be employed in the treatment of aortic coarctation accompanied by cardiac pathologies. The main step is to stratify the repair modality individually according to the severity of the diseases. In the surgical options, ascending-to-descending bypass should be performed for a coarctation accompanied by an ascending aortic aneurysm or critical aortic stenosis. In two-stage operations, the cardiac pathology should be operated in the first stage if congestive heart failure symptoms are observed. Currently, a single-stage operation with hybrid procedures might be a good option for most cases. Posterior pericardial ascending-to-descending aortic bypass: an alternative surgical approach for complex coarctation of the aorta. valvular insuficiency and postductal aortic coarctation in the adult. Combined surgical management through median sternotomy: a new surgical approach. Pfammatter JP et al. Off-pump extraanatomic aortic bypass for the treatment of complex aortic coarctation and hypoplastic aortic arch. Hybrid treatment of aortic coarctation associated with mitral insufficiency with stent graft im-plantation. Single-stage surgical repair of type II acute aortic dissection associated with coarctation of the aorta.to-descending aortic bypass via posterior pericardium for complex coarctation of aorta. Intermediate-term results of ascending–descending posterior pericardial bypass of complex aortic coarctation.perience using the NuMED Cheatham Platinum (CP) stent for interven-tional treatment of coarctation of the aorta in children and adolescents. Procedural results and acute complications in stenting …