[Redo operations after operation for true thoracic aortic aneurysm]

Recurrent aortic aneurysms after operation for true thoracic aortic aneurysm are not rare. It is reported that the incidence of redo operations after operation for true thoracic aortic aneurysm is 6 to 14%, and operative mortality is higher than that for primary operation. We have reviewed a variety of techniques of redo thoracic aortic surgery that have recently been reported. The followings are important to manage in these high risk patients, adequate selection of supportive measures, use of retrograde as well as antegrade infusion of cardioplegic solutions, meticulous operative technique.