AUULT AORTA COARCTATION WITH LEFT SURCLAVYAN ARTERY STENOSIS

Hospital mortalily of Surglcal treatment of Coarclation is signilicantly reduced both an aclults and chiliken. Morbidity such as recurrent or residuel coarctatlon, pseudoaneurysm, laseralion of recurrent nerve, aneurysın of contralateral wall of aorta after patchplasty and parapiegia are extremely rare after current surgıcal techniques. Paraplegia is not common atter aorta coarclation surgery due to extensive coilateral circulation and incidence renıained al 0.3-0.4%, Most of collateral circulation arises from lett subclavian artery so lett subclavian artery stenosis or damping of Iett subclavian artery during the surgery may cause disastrous spinal cord injury. Gombination of Leh subclavian artery stenosis with aorta coarctation is rare and needs additional measures lor elimınating spinal cord injury during the surgery.