SUCCESSFUL GRAFT REPLACEMENT OF THE DESCENDING AORTA AFTER AN EXTENDED RECONSTRUCTION OF THE ASCENDING AND TRANSVERSE AORTA IN A PATIENT WITH MARFANS-SYNDROME

A 27-year old man with Marfan's syndrome underwent a total aortic graf t replacement in three separate stages. initially the abdominal aorta was replaced, followed by the ascending aorta and aortic arch, and fin ally the residual portion. The extensive reconstruction of both the as cending and transverse aorta at the second operation, even though no d issection was present in the aortic arch, reduced the risk of the subs equent operation since the same surgical approach did not have to be u sed.