Case
A 32-year-old male with a history of aortic coarctation repair
operation, performed via posterolateral thoracotomy 17 years ago, was
admitted to our hospital with a serious angina pectoris lasting for two
months. On computerized tomography angiography of the thorax, a
post-stenotic dilatation was observed in relation with a recurrent
coarctation between the left carotid common carotid artery and the left
subclavian artery (Figure 1). First, a debranching operation was carried
out with a partial upper median sternotomy. The proximal part of a
Dacron graft with a diameter of 14/7 mm was anastomosed to the ascending
aorta and the distal parts were anastomosed to the brachiocephalic and
left common carotid arteries (Figure 2). On the following day, a
thoracic aorta stent with a diameter of 30×30×200 mm was implanted to
the coarctated transvers arch (Figure 3, A and B).