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A Case of Multisaccular Thoracic Aortic Aneurysm Associated with Coarctation of the Aorta Shinya Yokoyama, Yuji Naito, Eisei Koh, and Hiroshi Katayama* (Department of Cardiovascular Surgery, Kyoto Second Red Cross Hospital, Kyoto, Japan and Department of Pediatrics, Osaka Medical College*, Osaka, Japan) A 9-year-old boy with multisaccular thoracic aortic aneurysm associated with coarctation of the aorta underwent definitive repair under partial cardiopulmonary bypass. The operation consisted of resection of the aneurysm and reconstruction of the descending aorta. Aortic reconstruction was done without an artificial graft, and extended end-to-end anastomosis was performed successfully. He has been doing well and there was no significant restenosis at the repair site 5 years after the operation. Some authors reported that untreated coarctation of the aorta frequently developed aneerysm, which usually has multisaccular lesions. Surgical strategy of aortic reconstruction for coarctation of the aorta in boyhood should be decided prudently to avoid postoperative complications. Jpn. J. Cardiovasc. Surg. 34: 370-373 (2005)