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.