Challenging corrective redo surgery in a patient presenting with severe aortic redilatation following an aortic root reduction aortoplasty with concomitant external wrapping.

We report a case of severe long-term failure of an aortic root reduction aortoplasty with external wrapping. The patient presented 13 years after the initial surgery with a large redilatation of the aortic root and major atrophy of the native aortic root wall inside the external wrap. This subsequently necessitated challenging corrective redo surgery with a Bentall procedure. This case highlights the potential long-term risk of redilatation posed by using reduction aortoplasty with concomitant aortic external wrapping as a technique to treat largely aneurysmal aortic roots.