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Faisal G. Bakaeen
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Scott A. LeMaire
Joseph Huh
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Ann Thorac Surg 2007;84:1007-1008
© 2007 The Society of Thoracic Surgeons

Case Reports

Continued Aortic Aneurysmal Expansion After Thoracic Endovascular Stent-Grafting

Faisal G. Bakaeen, MDa,b,*, Joseph S. Coselli, MDa,c, Scott A. LeMaire, MDa,c, Joseph Huh, MDa,b

a Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
b Michael E. DeBakey VA Medical Center, Houston, Texas
c Division of Cardiovascular Surgery, Texas Heart Institute at St. Luke’s Episcopal Hospital, Houston, Texas

Accepted for publication March 23, 2007.

* Address correspondence to Dr Bakaeen, Department of Cardiothoracic Surgery, Michael E. DeBakey VAMC, OCL 112, 2002 Holcombe Blvd, Houston, TX 77030 (Email: fbakaeen{at}bcm.edu).

We report the successful open repair of a thoracoabdominal aneurysm that had expanded after previous endovascular stenting. Aortic valve-sparing root replacement was performed as an initial step because the patient had significant aortic valve regurgitation caused by root enlargement. Continued aneurysmal dilatation after stenting of the thoracic aorta can lead to repair failure and therefore underscores the need for careful follow-up of patients after endografting.




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