Anatomical aortic reconstruction in Marfan disease: dismantling of a hybrid repair.

We report the follow-up of a 29-year old female patient with Marfan disease described in another Journal when she suffered a Kommerell diverticulum (KD) dissection and underwent hybrid repair. She presented to us 2 years later with type I proximal endoleak, enlarging KD and descending thoracic aorta dissection, suffered from left ventricular dysfunction and prosthetic aortic valve stenosis. Definitive treatment included dismantlement of previous repairs and anatomical reconstruction.