A patient with Marfan's syndrome and previous Bentall repair for aorti
c dissection required orthotopic cardiac transplantation for end-stage
cardiomyopathy. Postoperatively he suffered recurrent aortic dissecti
on involving the transverse and descending aorta leading to tracheal a
nd esophageal compression. He underwent successful surgical replacemen
t of his ascending aorta, transverse arch, and descending aorta.