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Aortoesophageal fistula (AEF), associated with thoracic aortic aneurysm and aortic coarctation, is a rare and potentially fatal pathology. We present the results of successful aneurysm resection and aneurysm surgery CPB less in a patient diagnosed with thoracic aortic aneurysms and AEF, which has appealed to us in the case of hemodynamic shock and sepsis.

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In-stent restenosis remain the most important problem of coronary stent implantation. The number of patients with in-stent restenosis of coronary arteries is increasing in the practice of heart surgeons. We report a successful treatment of a patient with multiple in-stent restenosis of coronary arteries. LAD was treated with long arteriotomy of about 8 sm followed by open coronary endarteriectomy and stentectomy. The arteriotomy was then reconstructed with a venous patch and distal anastomosis with the LIMA then performed. The patient’s postoperative period was uncomplicated. At a 6-month followup examination, the patient is doing well and is asymptomatic. Combined open endarterectomy and stentectomy appears to be an effective alternative surgical treatment of FMJ-LAD and multiple intra-stent restenoses and gives a chance of full revascularization for such patients. Key words: Surgical management, coronary endarterectomy, stentectomy, arteriotomy, patient, FMJ-LAD

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