One-Stage Operations for Adult Cardiac Disease With Aortic Coarctation

Three patients with aortic coarctation and additional cardiac disease underwent a one-stage operation through a median sternotomy. Ascending-to-descending aortic bypass was carried out with a prosthetic graft in all 3 cases. One patient also had triple coronary bypass grafting with internal thoracic artery. Another patient underwent single coronary bypass grafting and aortic valve replacement. Aortic remodeling and mitral valve ring annuloplasty were performed in the third patient. There were no postoperative complications and all patients became symptom-free.