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Aortic Valve Stenosis and Insufficiency Combined With Aortic Coarctation
Tao Hu1, Weiling Tu1, Linfeng Li1
1Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, No. 152, Aiguo Road, Nanchang, Jiangxi, China.
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.
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