Abstract
Aortic arch aneurysms (AAA) are rare, especially contrasting with the
relative prevalence of coarctation of the aorta. These aneurysms can
expand rapidly, presenting a greater risk of rupture compared to some
other types of aneurysms. Also AAA is linked to other serious
complications such as valvular insufficiency or dissection. While a
consensus on the best treatment approach is still lacking,
extra-anatomic ascending-to-descending aortic bypass grafting via a
posterior pericardial approach through a median sternotomy provides a
viable alternative. This technique facilitates simultaneous intracardiac
repair. We report a case involving a 45-year-old man with coarctation of
the aorta and an aortic arch aneurysm. He underwent successful
extra-anatomic ascending-to-descending aortic bypass grafting, employing
a posterior pericardial approach via a median sternotomy and
cardiopulmonary bypass (CPB). This case underscores the feasibility and
success of surgical intervention in a patient with coarctation of the
aorta and a concurrent, substantial AAA. The use of an extra-anatomical
bypass, an innovative surgical technique, has proven to be effective and
beneficial in this kind of disease.