Surgical treatment of complex coarctation is still a challenge. We
performed extra-anatomic aortic bypass and Bentall procedure for a
10-year old boy diagnosed with critical aortic coarctation, aortic
aneurysm, and severe aortic valve insufficiency who previously received
Switch procedure. The patient is alive and well 52 months
postoperatively with a satisfactory result. Extra-anatomic aortic bypass
is a safe and effective procedure for patients with complex coarctation.