{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:53:50Z","timestamp":1777942430110,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,1,28]],"date-time":"2011-01-28T00:00:00Z","timestamp":1296172800000},"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":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:p>We present a 33-year-old male with severe, symptomatic aortic coarctation and aortic stenosis assessed on a humanitarian medical mission to a developing country. Contemplating limited time and available resources, we performed a simultaneous single-stage approach with ascending-to-descending aortic bypass with a reinforced gortex graft and concomitant aortic valve replacement through a median sternotomy. The patient had an uneventful postoperative convalescence and was discharged on postoperative day 5. At 1-year follow-up, he was asymptomatic and doing well with good blood pressure control and complete equalization of upper and lower limb blood pressure measurements. Computed tomography and transthoracic echocardiography demonstrated a widely patent ascending-to-descending aortic bypass graft and a normally functioning prosthetic aortic valve, respectively. In developing countries where health care resources are limited, a combined approach with an extra-anatomic, thoracic aortic bypass, and aortic valve replacement resulted in good early and 1-year outcomes. This procedure may represent the most effective surgical option for patients with concomitant aortic coarctation and aortic stenosis.<\/jats:p>","DOI":"10.1177\/1538574410396589","type":"journal-article","created":{"date-parts":[[2011,4,8]],"date-time":"2011-04-08T13:58:13Z","timestamp":1302271093000},"page":"303-306","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Ascending-to-Descending Aortic Bypass and Aortic Valve Replacement for Concomitant Severe Aortic Coarctation and Aortic Stenosis"],"prefix":"10.1177","volume":"45","author":[{"given":"Michael W. A.","family":"Chu","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery, University of Western Ontario, London, Ontario, Canada,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corey","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery, University of Western Ontario, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, CardioSalud, Arequipa, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,1,28]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.9.965"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1997.0557"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37983-8"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01481-8"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00291-4"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1161\/hc37t1.094897"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.12.027"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.02.003"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574410396589","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574410396589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:52:37Z","timestamp":1777704757000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574410396589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1,28]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1177\/1538574410396589"],"URL":"https:\/\/doi.org\/10.1177\/1538574410396589","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1,28]]}}}