Coarctation of the aorta (CoA) is a condition that is seldom observed in individuals beyond the age of sixty. If left untreated, most patients with CoA do not survive beyond their fourth decade due to complications such as congestive heart failure, aortic rupture, or cerebral vascular accidents. In addition, CoA has been linked to an increased risk of developing coronary artery disease (CAD). This case report highlights the incidental detection of CoA in a 61-year-old man who underwent cardiac evaluation for a recent myocardial infarction (MI), necessitating coronary artery bypass grafting (CABG). Furthermore, the report outlines the surgical plan, approach, and potential adverse outcomes that were anticipated. Additionally, the patient was found to have another rare anomaly of the right subclavian artery - the arteria lusoria. The report emphasizes the importance of considering the possibility of CoA and other cardiovascular anomalies in older patients with MI, and the need for careful preoperative assessment to ensure optimal outcomes. The report provides valuable information for clinicians to help them diagnose and manage patients with CoA, CAD, and other cardiovascular anomalies, especially in older individuals.

Keywords: Coarctation of the aorta (CoA), Coronary artery disease (CAD), Myocardial Infarction (MI), Coronary artery bypass grafting (CABG)