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Ann Thorac Surg 2005;79:343-345
© 2005 The Society of Thoracic Surgeons

Case report

Severe Coronary Artery Disease With Coarctation of the Aorta: Role of Off-Pump Coronary Artery Bypass Grafting

Komarakshi R. Balakrishnan, MDa,*, Sadagopan Thanikachalam, DMb, Jayanthi Satyanarayana Murthy, DipNBb, Richard Saldanha, MDa, Mariappan Jayarajah, DMb

a Department of Cardiothoracic Surgery Ramachandra Medical College Hospital, Porur, Madras, India
b Department of Cardiology, Ramachandra Medical College Hospital, Porur, Madras, India

Accepted for publication August 6, 2003.

* Address reprint requests to Dr Balakrishnan, Department of Cardiothoracic Surgery, Ramachandra Medical College Hospital, Porur, Madras 600116, India
krbalakrishnan{at}vsnl.com

Severe coronary artery disease with coarctation of the aorta is an unusual and challenging clinical problem. We encountered three adults with severe coronary artery disease and tight coarctation of the aorta. Since angina was the dominant symptom in all, off-pump coronary artery bypass grafting (OPCABG) was done as a first stage. All survived the operation. After a gap of 3 weeks, coarctation repair has been done in 1 patient. We believe that OPCABG offers some unique advantages in this difficult situation.






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