Performing coronary artery bypass grafting with a giant left internal mammary artery; Using dilated internal mammary artery in a patient with aortic coarctation and concomitant coronary artery disease

The ideal surgical approach is unclear for patients with aortic coarctation whom have other associated coronary artery disease or other cardiac pathologies. A 69 year-old male was admitted to our hospital with carotid artery stenosis and coronary artery disease. During routine preoperative procedures cardiologist revealed an aortic coarctation. Left internal mammary artery was dilated due to coarctation but even so it was used as a graft for coronary artery bypass grafting. We aimed to report our approach for this patient