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Coarctation of the aorta (CoAo) is a congenital narrowing of the proximal region of the descending aorta, adjacent to the site of insertion of the ductus arteriosus or ligamentum arteriosum. Less frequently, the CoAo is located more proximally, between the left common carotid and left subclavian arteries, or in other segments of the aortic arch. It can occasionally occur in the descending thoracic aorta and abdominal aorta. The incidence of CoAo is estimated in 1:1,323 live births, ranking sixth amongst the congenital heart diseases1. After the surgical repair of the CoAo, some complications can occur during the postoperative period, the most common being aortic recoarctation, whose incidence varies, being mostly related to technical and surgical aspects or to the anatomical complexity of the coarctation. In cases of aortic recoarctation, mainly in adults, the extra-anatomic aortic bypass is a viable alternative2. This case report was aimed at describing the use of a technical variant of the extra-anatomic aortic bypass during the surgery of an adult patient, who had previously undergone CoAo repair, and had aortic recoarctation during the evolution.

Técnica variante da correção extra-anatômica na recidiva de coarctação de aorta