Introduction
Surgical treatment of complex coarctation is still a challenge, extra-anatomic aortic bypass maybe a safe and effective procedure. Herein, we describe a 10-year old boy diagnosed with critical aortic coarctation, aortic aneurysm, and severe aortic valve insufficiency who previously received Switch procedure, undergoing median sternotomy for extra-anatomic aortic bypass and combined Bentall procedure with a satisfactory result.