Abstract
The ideal surgical approach is unclear for patients with aortic coarctation whom have other associated coronary artery disease or other cardiac pathologies. A 69 year-old male was admitted to our hospital with carotid artery stenosis and coronary artery disease. During routine preoperative procedures cardiologist revealed an aortic coarctation. Left internal mammary artery was dilated due to coarctation but even so it was used as a graft for coronary artery bypass grafting. We aimed to report our approach for this patient.
Highlights
The ideal surgical approach is unclear for patients with aortic coarctation whom have other associated coronary artery disease or other cardiac pathologies
A doppler ultrasonography revealed a severe (%90) carotid artery stenosis and diagnose confirmed with digital subtraction angiography
Coronary angiography was repeated via radial artery and showed a %90 osteal stenosis on left anterior descending artery which was not suitable for percutaneous coronary interventions
Summary
The ideal surgical approach is unclear for patients with aortic coarctation whom have other associated coronary artery disease or other cardiac pathologies. A 69 year-old male was admitted to our hospital with carotid artery stenosis and coronary artery disease. Left internal mammary artery was dilated due to coarctation but even so it was used as a graft for coronary artery bypass grafting. A doppler ultrasonography revealed a severe (%90) carotid artery stenosis and diagnose confirmed with digital subtraction angiography. His medical history included hypertension, diabetes and hyperlipidemia. Ortadoğu Tıp Dergisi / Ortadogu Medical Journal sternotomy For this reason we planned to repair the aortic coarctation later with a thoracotomy. Our patient did not come yet to our hospital for surgery
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