[Acute type-B aortic dissection associated with isthmic coarctation in adult]. / Dissection de l'aorte descendante révélant une coarctation méconnue chez l'adulte.

The authors report a case of acute type-B aortic dissection in association with an unknown isthmic coarctation in a 30-year-old adult. Successful surgical repair was performed 6 months later without cardiopulmonary bypass. Physiopathological aspects and surgical strategy are discussed. Acute aortic dissection distal to isthmic coarctation is extremely rare and has been reported in only 5 other cases. Present case is the first, to our knowledge, to be operated without cardiopulmonary bypass.