{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:16:35Z","timestamp":1783343795571,"version":"3.54.6"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Coarctation of the aorta (CoA) is a congenital heart disease (CHD) that may remain undiagnosed until adulthood. Its clinical manifestations vary depending on the anatomical severity of the narrowing and the degree of collateral circulation development. The management of CoA, particularly when associated with additional CHDs or acquired cardiovascular pathology in adult patients, necessitates a comprehensive and individualised treatment strategy. We present a clinical case of a 33-year-old female diagnosed with CoA, complicated by an aortic root aneurysm and bicuspid aortic valve (BAV) insufficiency. Given the complexity of her condition, a staged hybrid approach was implemented. In the first stage, the patient underwent surgical valve-sparing aortic root replacement (David procedure), preserving the native valve function. Three weeks later, thoracic endovascular aortic repair (TEVAR) was performed to address the CoA. The patient\u2019s postoperative recovery was uneventful. Follow-up imaging, including computed tomography angiography (\u0421\u0422\u0410) and transthoracic echocardiography at 3\u00a0months post-discharge, demonstrated an optimal surgical outcome, confirming the efficacy of this tailored two-stage strategy.<\/jats:p>","DOI":"10.1177\/02676591251351212","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T08:15:38Z","timestamp":1749456938000},"page":"791-796","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A two-stage approach to correct aortic coarctation combined with aortic root aneurysm and bicuspid aortic valve in an adult patient"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0197-6916","authenticated-orcid":false,"given":"Almas","family":"Tolegenuly","sequence":"first","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bulat","family":"Kupenov","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidos","family":"Yerpashov","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alimzhan","family":"Yelzhasov","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Argynkyzy","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil","family":"Abdinurov","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daut","family":"Tolen","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abay","family":"Baigenzhin","sequence":"additional","affiliation":[{"name":"National Scientific Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs235"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvssr.2019.10.003"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.01.039"},{"key":"e_1_3_3_7_2","first-page":"CD008204","article-title":"Stent placement versus surgery for coarctation of the thoracic aorta","volume":"2012","author":"P\u00e1dua LMS","year":"2012","unstructured":"P\u00e1dua LMS, Garcia LC, Rubira CJ, et al. 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Repair of bicuspid aortic valves in patients with aortic regurgitation. Circulation 2006; 114(1 Suppl): I610\u2013I616.","journal-title":"Circulation"},{"issue":"6","key":"e_1_3_3_11_2","first-page":"752","article-title":"Results of valve preservation and repair for bicuspid aortic valve insufficiency","volume":"14","author":"Alsoufi B","year":"2005","unstructured":"Alsoufi B, Borger MA, Armstrong S, et al. Results of valve preservation and repair for bicuspid aortic valve insufficiency. 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Use of endovascular stents for the treatment of coarctation of the aorta in children and adults: immediate and midterm results. 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