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Figure 1: Parasagittal angio-computed tomography of a 55-year-old Marfan patient with previous repair of type A dissection and orthotropic heart transplantation. The residual dissection of the descending thoracic aorta underwent gross aneurysmatic dilatation which is now over 7 cm in diameter and tender. There is no suitable neck for endovascular repair

Figure 1: Parasagittal angio-computed tomography of a 55-year-old Marfan patient with previous repair of type A dissection and orthotropic heart transplantation. The residual dissection of the descending thoracic aorta underwent gross aneurysmatic dilatation which is now over 7 cm in diameter and tender. There is no suitable neck for endovascular repair