Combined Therapy of Re-coarctation of the Aorta and Coronary Heart Disease

Summary

We report on an uncommon case of recoarctation of the aorta 36 years after resection and end-to-end anastomosis associated with coronary heart disease. Since a two-staged surgical therapy implies an increased risk of life for the patient, we decided to perform a combined surgical procedure. Exposing the heart by a median sternotomy we implanted a 16 mm synthetic graft from the ascending to the descending thoracic aorta and performed a prosthesiocoronary bypass in one Session. The patient had an uneventful recovery. In our opinion this procedure is the method of choice for similar cases.

Key words

Coronary heart disease - Coarctation of the thoracic aorta - Surgical therapy - Combined therapy