We report a 26-year-old man with critical aortic coarctation, severe bicuspid aortic valve stenosis,
infective endocarditis and ascending aortic aneurysm. He underwent simultaneously in singlestage
a Bentall’s procedure and an extra-anatomic ascending-descending aortic bypass grafting by
14-mm Dacron tube, through median sternotomy. The immediate postoperative outcome was favourable.
The CT scan control for 7 years after surgery showed a good patency of the extra-anatomic
bypass.
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