Case
A 32-year-old male with a history of aortic coarctation repair operation, performed via posterolateral thoracotomy 17 years ago, was admitted to our hospital with a serious angina pectoris lasting for two months. On computerized tomography angiography of the thorax, a post-stenotic dilatation was observed in relation with a recurrent coarctation between the left carotid common carotid artery and the left subclavian artery (Figure 1). First, a debranching operation was carried out with a partial upper median sternotomy. The proximal part of a Dacron graft with a diameter of 14/7 mm was anastomosed to the ascending aorta and the distal parts were anastomosed to the brachiocephalic and left common carotid arteries (Figure 2). On the following day, a thoracic aorta stent with a diameter of 30×30×200 mm was implanted to the coarctated transvers arch (Figure 3, A and B).