MANAGEMENT OF COEXISTING COARCTATION OF THE AORTA AND ESOPHAGEAL ATRESIA

The combination of neonatal coarctation of the aorta (CoA) and oesopha geal atresia (oA) is rare and the optimum approach to surgical correct ion uncertain. Of 84 consecutive neonates with CoA over an 8-year peri od? 2 had coexisting oA. We consider that CoA repair by subclavian fla p should be performed first to improve the environment for healing of the oesophageal anastomosis. A carefully co-ordinated approach between paediatric and cardiac surgical teams is recommended.