Combined Therapy of Coarctation of the Aorta and Coronary Artery Disease

Tevfik TEZCANER, Zeki ÇATAV, Cem YORGANCIOĞLU, Oğuz MOLDİBİ, Barlas AYTAÇOĞLU, Hilmi TOKMAKOĞLU, *Kaya SÜZER

Kardiyovasküler Cerrahi Uzmanı, Bayındır Tıp Merkezi,
^*Kardiyovasküler Cerrahi Departmanı Klinik Şefi, Bayındır Tıp Merkezi

Coarctation of the aorta associated with coronary heart disease is an uncommon case. We present a one-stage operation performed in 2 cases of aortic Coarctation associated with coronary heart disease. One of them was also associated with aortic valve stenosis. Both of the patients undenwent median sternotomy and assending aorta to descending aorta bypass grafting with the use of internal thoracic artery, whereas the second case had a single bypass grafting with the use of saphenous vein graft and an aortic valve replacement. There were no postopera- tive complications. Both cases were symptom-free af- ter the operation. Magnetic resonance imaging re- vealed a patent prosthetic aortic bpyass graft and an internal thoracic artery graft used as a coronary bypass graft 2 months after the operation in the first case. it is concluded that aortic Coarctation and coronary bypass grafting can be done safely in a one-stage operation through median sternotomy.

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