A safe single stage strategy for surgical repair of redo coarctation of aorta repair with coronary artery bypass grafting in adults: A case report

Abstract

Objective: The association of coarctation of aorta (CoA) and coronary artery disease is rare. To formulate single stage safe strategy for redo repair of aortic coarctation and simultaneous coronary artery bypass grafting (CABG). Case presentation: The present case report describes a 55-year-old male, who underwent a redo safe single -stage surgical repair for both pathologies. CoA was tackled by ventral aortic repair followed by coronary artery bypass grafting under cardiopulmonary bypass. The vascular prosthesis was anastomosed to descending thoracic aorta in end-to-side fashion, and it was located posterior to the inferior vena cava through the oblique sinus but inferior to the superior vena cava and curved around the right atrium, anastomosed to ascending aorta. Conclusion: Ventral aortic repair through a midline approach is our preferred technique for redo surgical repair of CoA. Dual arterial cannulation ensures adequate perfusion of both upper and lower extremities.