Surgical correction of type I dissecting aortic aneurysm after renal transplantation.

While Type III dissecting aneurysms of the aorta in patients with renal transplants have been described, this report appears to represent the first successful replacement of the ascending aorta with correction of valvar aortic insufficiency in a patient with a Type I aortic dissection. The operative result and subsequent clinical course have been gratifying. On the basis of these findings an aggressive surgical approach is recommended for patients with this combination of conditions.