Two-stage hybrid treatment of type A acute aortic syndrome associated with aortic coarctation and bicuspid aortic valve

Aortic coarctation may appear in isolation or associated with other injuries. The most frequent association is the bicuspid aortic valve, which is not usually problematic in the short-medium term, but is associated late with complications in the ascending aorta in adulthood. There is a clear relationship between aortic dilatation and Marfan's syndrome, bicuspid aortic valve, and aortic coarctation, but the presentation of aortic coarctation associated with aortic dissection is rare. We present a case report of a 28-year-old woman who presented with type A acute aortic syndrome and diagnosis of aortic root aneurysm associated with bicuspid aortic valve and aortic coarctation. A two-stage hybrid treatment was performed: first, emergent surgery for acute aortic dissection and, second, stent implantation for aortic coarctation. The outcome was satisfactory. (C) 2021 Sociedad Espanola de Cirugia Cardiovascular y Endovascular. Published by Elsevier Espana, S.L.U.