Severe aortic wall degeneration after aortic wrapping

We report a case in whom aortic wrapping had been performed for aortic dilatation. Ten years later, further progression of aortic root diameter was documented (root size of 66 mm). We performed complete replacement of the proximal aorta. Macroscopically and microscopically, there was extreme degeneration and thinning of the aorta under the graft.

Automated summary

A patient underwent aortic wrapping for aortic dilatation, but ten years later, further enlargement of the aortic root necessitated complete replacement. Extreme degeneration and thinning of the aorta were observed under the graft on both macroscopic and microscopic examination.