Aortic Dissection: Multistage Repair Featuring a Branched Fr
A 42-year-old man from North Carolina referred himself to the Aorta Center in Cleveland Clinic’s Miller Family Heart & Vascular Institute in 2015. At age 8, he had been diagnosed with Marfan syndrome, a genetic disorder that led to an imbalance in the maintenance and turnover of his connective tissues.

In early adulthood he developed an aneurysm of the root of his aorta. In 2001, at age 28, he suffered an acute type A aortic dissection, a tear in the intimal layer of his ascending aorta that led to complete separation of the layers of the aorta from the root to the bifurcations of both femoral arteries. He underwent an emergency operation to replace his aortic root and ascending aorta, including reimplantation of the coronary arteries and replacement of the aortic valve with a mechanical prosthesis (Bentall procedure with a composite valve graft). The operation was limited to addressing the most life-threatening segments of the aortic dissection even though the dissection had extended all the way down through the femoral arteries....