Interventional and surgical management of aortic stenosis and coarctation

Two patients, aged 42 and 44 years old, presented with the combination of a ortic valve stenosis and coarctation. To avoid potential problems associate d with one stage repair, both patients underwent successful endovascular st ent implantation for coarctation followed within 2 weeks by aortic valve re placement using pulmonary autografts (Ross operation). Spiral thoracic comp uted tomographic scans were performed within 1 week of stent implantation t o ensure the absence of aneurysm formation related to the stent before card iopulmonary bypass. (C) 2001 by the Society of Thoracic Surgeons.