{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:58:40Z","timestamp":1785502720843,"version":"3.56.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Coarctation of the aorta (CoA) persisting into adulthood is uncommon and may be complicated by hypertension and aortic pathology. Aortic dissection occurring distal to a coarctation segment in the presence of advanced coronary artery disease (CAD) is not uncommon, but its description in the literature \u2013 especially the management \u2013 is rarely reported. A 46-year-old male with no prior symptoms or history of comorbid illness presented with acute, tearing chest and back pain. Echocardiography revealed a CoA. Further evaluation with computed tomography angiography demonstrated a Stanford type B aortic dissection distal to the coarcted segment, and coronary angiography showed triple-vessel CAD. He underwent an open surgical repair with resection of the coarctation and Dacron graft replacement, along with triple coronary artery bypass grafting. Recovery was uneventful, and follow-up imaging confirmed durable repair and patent grafts. Vigilance for aortic complications in adults with uncorrected or residual coarctation is essential. Simultaneous repair of coarctation-associated dissection and coronary revascularization is feasible with meticulous planning.<\/jats:p>","DOI":"10.4103\/apc.apc_306_25","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:00:34Z","timestamp":1785495634000},"page":"429-431","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Aortic dissection distal to coarctation of the aorta with severe coronary artery disease: A case report and surgical review of a rare combination of adult congenital and acquired heart diseases"],"prefix":"10.4103","volume":"19","author":[{"given":"Jithin Reji","family":"George","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Government Medical College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratish","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Government Medical College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Anandakuttan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Government Medical College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"R1-20260731","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/S0002-9149(01)02293-7","article-title":"Long-term follow-up of patients after coarctation of the aorta repair","volume":"89","author":"Toro-Salazar","year":"2002","journal-title":"Am J Cardiol"},{"key":"R2-20260731","first-page":"1324","article-title":"Outcomes in adults with coarctation of the aorta from native disease to late complications","volume":"123","author":"Egbe","year":"2019","journal-title":"Am J Cardiol"},{"key":"R3-20260731","first-page":"e48","article-title":"Coarctation of the aorta with some collaterals presenting as aortic dissection detected by 64-MDCT","volume":"5","author":"Shiga","year":"2011","journal-title":"J Cardiol Cases"},{"key":"R4-20260731","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/j.jacc.2004.07.037","article-title":"Risk factors for aortic complications in adults with coarctation of the aorta","volume":"44","author":"Oliver","year":"2004","journal-title":"J Am Coll Cardiol"},{"key":"R5-20260731","doi-asserted-by":"crossref","first-page":"167","DOI":"10.4330\/wjc.v12.i5.167","article-title":"Management of adults with coarctation of aorta","volume":"12","author":"Agasthi","year":"2020","journal-title":"World J Cardiol"},{"key":"R6-20260731","doi-asserted-by":"crossref","first-page":"114","DOI":"10.51645\/khj.2024.477","article-title":"Surgical treatment of the aortic coarctation in adults: extra anatomical ascending-to-descending aortic bypass and concomitant procedures","volume":"27","author":"Karako\u00e7","year":"2024","journal-title":"Ko\u015fuyolu Heart J"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_306_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:00:50Z","timestamp":1785499250000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_306_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_306_25","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-10-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}