Interventional and surgical management of aortic stenosis and coarctation

Two patients, aged 42 and 44 years old, presented with the combination of aortic valve stenosis and coarctation. To avoid potential problems associated with one stage repair, both patients underwent successful endovascular stent implantation for coarctation followed within 2 weeks by aortic valve replacement using pulmonary autografts (Ross operation). Spiral thoracic computed tomographic scans were performed within 1 week of stent implantation to ensure the absence of aneurysm formation related to the stent before cardiopulmonary bypass.