Traumatic occlusion of the left anterior descending artery and rupture of the aortic isthmus.

A patient with occlusion of the left anterior descending artery and rupture of the aortic isthmus following blunt trauma is reported, Treatment of both lesions through a median sternotomy using cardiopulmonary bypass was accomplished successfully, Special considerations regarding the surgical management of combined cardiac and aortic isthmus lesions in trauma patients are discussed.