Work

Aortic Valve Stenosis and Insufficiency Combined With Aortic Coarctation

Year: 2025

Type: article

Abstract: 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.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106415

Authors: Tao Hu, Weiling Tu, Linfeng Li

Institutions: Jiangxi Provincial People's Hospital, Nanchang Medical College

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850