A case of successful one stage repair of aortic coarctation and ascending aortic aneurysm in a 10 year old boy with cystic medial necrosis and congenital bicuspid aortic valve is presented. The patient underwent correction of both lesions at the same operation through two separate incisions. The coarctation was repaired first. The aortic valve was found to be hemodynamically normal and was not replaced. The patient leads a normal life at five and half years after operation and is playing ice hockey with no limitations. Close and long-term follow-up is considered essential in view of the potential complications.
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