Management of critical coarctation of aorta in a premature neonate with low birth weight (560 grams).

Premature neonates with low birth weight have always posed a huge management dilemma, even for teams with great expertise. In this case report, we discuss a premature neonate born with extremely low birth weight diagnosed with critical coarctation of aorta and the challenges faced in stabilising the neonate. As per our literature review, this is the smallest neonate weighing only 680 grams to have undergone successful repair of coarctation of aorta through posterolateral thoracotomy. Identifying the ideal timing for surgery in premature neonates with low birth weight is most crucial to minimise morbidity/ mortality .