Main text
Concomitant presence of acute type A dissection and coactation of aorta
is rare (1). Levoatriocardinal vein has shown to be associated with left
sided hypoplastic lesions as well as with normal hearts (2, 3 ).
However, concurrent presence of levoatriocardinal vein with acute type A
dissection, severe aortic regurgitation and Coarctation of aortic
isthmus was not described. After taking consent from the patient we here
described a case of 20 year male presented to emergency department with
acute chest pain radiating to back. On evaluation, he was found to have
acute type A dissection with dilated aortic root, severe aortic
regurgitation, normal mitral valve, severe coarctation of aorta and
levoatriocardinal vein. Patient was managed successfully with composite
valve conduit replacement of ascending aorta with ascending aortic to
descending aortic graft (16mm graft) with levoatriocardinal vein
ligation.