Redo operation for thoracoaortic aneurysm after entire aortic replacement

Resection of a saccular aneurysm that developed in a remnant of aorta in a patient with Marfan's syndrome, who previously underwent aortic aneurysmect omy, is described. The intercostal arteries were reconstructed end-to-end u sing small-caliber interposition grafts to the aortic prosthesis. Preoperat ive magnetic resonance angiography identified the artery of Adamkiewicz and facilitated its preservation. (C) 2001 by The Society of Thoracic Surgeons .