Abstract
Complete tracheal rings requiring concomitant cardiac and airway repair are typically described in association with pulmonary artery sling. We report a newborn case of coarctation of the aorta and incidental discovery of asymptomatic severe tracheal stenosis at the time of attempted coarctation repair. This case illustrates the importance of a thorough airway evaluation, multidisciplinary coordination of pediatric surgical and anesthesia specialties, and detailed preoperative planning to ensure successful surgical treatment of this rare entity of combined neonatal congenital cardiac and airway disease.