The distal aorta in the XXXX .

@entity1 @entity101 @entity1614 @entity9886 @entity439 @entity337 @entity1580
Prolonged survival of @entity1 with @entity1614 after aortic root replacement has led to an increased number of @entity1 with aortic complications beyond the root. Elective replacement of the aortic root removes the most important predilection site for @entity439 , but the distal aorta remains at risk. Predictors for aortic growth and adverse events in the distal aorta include aortic diameter, aortic distensiblity, previous aortic root replacement, @entity101 and @entity337 . After @entity1580 , the initial false lumen diameter is an independent predictor for late @entity439 formation. Although there are a few reports of short-term success after endovascular stent grafting of the descending thoracic aorta, stent grafting in @entity1 with @entity1614 is not recommended unless intervention is clearly indicated and the risk of conventional open surgical repair is deemed prohibitive. Optimal long-term outcome demands lifelong radiographic follow-up and medical treatment with beta-blocker therapy. After @entity1580 rigorous antihypertensive medication is of utmost importance. @entity9886 , an angiotensin II type I receptor antagonist, might offer the first potential for primary prevention of clinical manifestations in @entity1614 , but the results of clinical trials have to be awaited. (Neth Heart J 2008;16:382-6.).
