Treatment of aortic dissection and ruptured abdominal aneurysm with coronary bypass.

We present a patient with a descending aortic dissection and contained rupture of a large abdominal aortic aneurysm with a history of inferior myocardial infarction and right coronary occlusion. The technique of combined repair of the descending thoracic aortic dissection with replacement of the ruptured infrarenal abdominal aorta and coronary artery bypass grafting is described.