Hybrid management of coronary artery disease and coarctation of aorta

The treatment of coarctation of aorta with an additional cardiac lesion in adults remains a difficult surgical challenge. We present here an alternati ve, two-stage, hybrid approach that combined stent repair of aortic coarcta tion followed by coronary artery bypass operation in an adult with critical coronary lesions and a poor ventricle. This method may be a potentially us eful strategy in reducing the comorbidity of operation to both lesions. (An n Thorac Surg 2000;70:2153-4) (C) 2000 by The Society of Thoracic Surgeons.