The presence of concomitant coronary artery and supraaortic diseases requires a management strategy for best neurological outcome. A combined operation for both innominate artery reconstruction and coronary artery bypass surgery through a single median sternotomy incision is feasible. We are presenting a concomitant repair for a 63 years old man with coronary artery disease and innominate artery occlusion at aortic arch origin.
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