Extraanatomic ascending-to-descending aortic bypass graft for recurrent, diffuse aortic coarctation

Surgical correction of recurrent coarctation of the aorta presents a formidable technical challenge. If the lesion is diffuse or has long-segment aortic hypoplasia, it can be more difficult to manage. We present a successful case of repair using an extraanatomic bypass graft from the innominate artery to descending aorta. This technique can be an effective and easy approach for selected cases of complex or reoperative aortic obstruction.