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J Thorac Cardiovasc Surg 2009;137:1027-1029
© 2009 The American Association for Thoracic Surgery

Brief Communication

Stent graft coarctation after frozen elephant trunk procedure: An unusual complication

^a Department of Cardiac Surgery, S Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
^b Department of Radiology, S Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy

Received for publication January 24, 2008; accepted for publication March 22, 2008.

^_* Address for reprints: Davide Pacini, MD, Unità Operativa di Cardiochirurgia, Università degli studi di Bologna, Policlinico S Orsola, Via Massarenti, 9, 40138 Bologna, Italia. (Email: dpacini@hotmail.com).

The first 20% of the full text of this article appears below.

Recently, a hybrid repair combining endovascular treatment with conventional surgery, known as the "frozen elephant trunk" technique,¹ has been described as a single-stage procedure for the treatment of diffuse pathology of the thoracic aorta. We report an interesting case of a patient with Marfan syndrome who underwent frozen elephant trunk repair in which coarctation of the endoprosthesis was postoperatively diagnosed and successfully treated with another endovascular procedure.

Clinical Summary

A 52-year-old male patient with Marfan syndrome and severe scoliosis leading to severe respiratory insufficiency ( Figure 1, A) and previous mitral valve replacement had an acute type B aortic dissection that was medically treated. Six months later, the patient was referred to our department because of rapid dilatation of the false lumen of the descending thoracic aorta, which presented a severe tortuosity, facing the spinal column scoliosis (Figure 1, B and Figure E1, A1–A4). The ascending aorta and the aortic root were dilated, and moderate aortic valve regurgitation was demonstrated. The patient underwent aortic root . . . [Full Text of this Article]