Gill and Dunning analyzed the results of an aortoplasty with and without concomitant wrapping.They found that aortoplasty had relatively good postoperative results with low early morbidity and mortality. Still, leaving a defective aortic wall without an additional reinforcement may carry the risk of redilatation. Adding external reinforcement, called aortic wrapping could strengthen the aortic wall. This external corset creates a barrier which should prevent the aorta from
redilatation. Some studies have presented good midterm and long-term results of wrapping without concomitant
aortoplasty (isolated wrapping) [3–7]. In this technique, the dilated aorta is not only wrapped with
the vascular prosthesis but also squeezed to restore its normal diameter. Although the results of isolated wrapping
seem to be promising [8], some surgeons regard
this technique as potentially dangerous as it may lead to
aortic wall degeneration