LARGE AIRWAY-OBSTRUCTION BY A CHRONIC DISSECTING AORTIC-ANEURYSM IN THE MARFAN-SYNDROME

We describe a patient with the Marfan syndrome who presented with an a cute aortic dissection. She underwent composite graft replacement of t he aortic root. She returned two years later with dyspnoea and strider due to tracheal compression by a large chronic dissection of the thor acic aorta. Marfan patients are at risk of chronic dissection involvin g the remaining distal aorta and require regular noninvasive assessmen t following surgery.