A 53-year-old @entity1 was developed @entity712 . She was diagnosed as having @entity1498 , incompetent @entity4503 and an @entity5216 by using echocardiography and enhanced computed tomography. Ankle brachial pressure index(ABI)in the right was 0.71 and 0.69 in the left. Blood pressure of the right arm was 60 mmHg lower than that of the left arm. To avoid perioperative adverse @entity299 due to a 2-staged operation, we performed ascending-descending aortic bypass and aortic valve replacement simultaneously through a median sternotomy. The heart was retracted cranially, and a vascular prosthesis was anastomosed to the descending aorta just above the diaphragm in an end-to-side manner. Then the graft was placed curvilinearly around the right atrium and was anastomosed to the ascending aorta. After the operation, the right and left ABI increased to 0.90 and 0.98 respectively. There was no pressure difference between the arms. The postoperative course was uneventful.

[Ascending-descending Aortic Bypass and Aortic Valve Replacement for XXXX with @entity4503 and an Aberrant Right Subclavian Artery;Report of a Case].

@entity1 :: ('9606', 'Species') :: ['woman'] @entity4503 :: ('MESH:C562388', 'Disease') :: ['bicuspid aortic valve'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity1498 :: ('MESH:D001017', 'Disease') :: ['aortic coarctation'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac events'] @entity5216 :: ('MESH:C535555', 'Disease') :: ['aberrant right subclavian artery']
@entity1498 :: (MESH:D001017,Disease) :: ['Aortic Coarctation']
