1 | INTRODUCTION
Diffuse aortic dissection or medial degenerative disease involving the
entire aortic arch can lead to the formation of exceptionally large
aneurysms[1]. Coarctation of the aorta affects individuals across
all age groups and presents with a range of clinical symptoms, either in
isolation or in conjunction with other cardiac defects[2]. The
combination of an AAA and coarctation of the aorta is a uncommon and
serious cardiac malformation, often associated with critical
complications such as sepsis, dissection, and aneurysm rupture. Without
surgical intervention, patients with coarctation of the aorta face a
serious prognosis, with an average life expectancy of only 34 years and
a mortality rate of 75% by the age of 43 [3]. Currently, there is a
lack of extensive reports and no established consensus on managing this
severe condition. In this report, we describe the management of a
45-year-old man with coarctation of the aorta and a significant aortic
arch aneurysm.