Extra-anatomic ascending-to-descending aortic bypass via right thoracotomy for complex re-coarctation of the aorta - An alternative surgical approach for complex re-coarctation

Ascending-to-descending aortic bypass may be the best approach for complex re-coarctation of the aorta because of adhesions around the coarctation area, risk of spinal cord ischaemia due to aortic cross-clamping and laceration of the recurrent laryngeal nerve. We report a patient with complex re-coarctation of the aorta successfully treated by extra-anatomic ascending-to-descending aortic bypass via right thoracotomy without cardiopulmonary bypass.