ArticleJournal of vascular surgery cases and innovative techniques2026
Double endovascular repair in a patient with Marfan syndrome and postdissection thoracoabdominal aortic aneurysm: Twelve years of follow-up.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A patient with Marfan syndrome and prior open aortic surgery presented with a chronic post-type B dissection thoracoabdominal aneurysm measuring 6.5 cm in diameter. He underwent successful endovascular repair using a surgeon-modified fenestrated endograft. During follow-up, he developed infectious aortitis and permanently lost right kidney function. Multiple endovascular reinterventions were performed, including complete relining with a T-branch endograft to address graft degeneration. After 12 years, the aneurysm sac remained stable at 6.3 cm; renal function stabilized without dialysis, and he continued prolonged antibiotic therapy. This case demonstrates the technical feasibility and long-term durability of sequential endovascular repair in Marfan-associated aortic disease under multidisciplinary management.
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