Aortic dissection distal to coarctation of the aorta with severe coronary artery disease: A case report and surgical review of a rare combination of adult congenital and acquired heart diseases.

Authors

Jithin Reji George, Ratish Radhakrishnan, S Anandakuttan

Published in

Annals of pediatric cardiology. Volume 19. Issue 4. Pages 429-431. Epub Jul 31, 2026.

Abstract

Coarctation of the aorta (CoA) persisting into adulthood is uncommon and may be complicated by hypertension and aortic pathology. Aortic dissection occurring distal to a coarctation segment in the presence of advanced coronary artery disease (CAD) is not uncommon, but its description in the literature - especially the management - is rarely reported. A 46-year-old male with no prior symptoms or history of comorbid illness presented with acute, tearing chest and back pain. Echocardiography revealed a CoA. Further evaluation with computed tomography angiography demonstrated a Stanford type B aortic dissection distal to the coarcted segment, and coronary angiography showed triple-vessel CAD. He underwent an open surgical repair with resection of the coarctation and Dacron graft replacement, along with triple coronary artery bypass grafting. Recovery was uneventful, and follow-up imaging confirmed durable repair and patent grafts. Vigilance for aortic complications in adults with uncorrected or residual coarctation is essential. Simultaneous repair of coarctation-associated dissection and coronary revascularization is feasible with meticulous planning.

PMID:
42602776
Bibliographic data and abstract were imported from PubMed on 15 Aug 2026.

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