Figure Legends:
Figure 1: A: Contrast enhanced computed tomography showing ascending aortic aneurysm with type A dissection along with severe coarctation of aortic ishmus. B: Contrast enhanced computed tomography showing levoatriocardinal vein communicating left atrium to left innominate vein
Figure 2: A: Post-operative contrast enhanced computed tomography showing composite valve conduit with patent ascending to descending graft. B: Intra -operative image showing complete repair