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Severe mitral regurgitation coexisting with descending thoracic aorta aneurysm: staged approach using endovascular repair.

We describe the case of a 67-year-old man who was referred for the management of severe mitral valve regurgitation and coronary artery disease. Further workup revealed a descending thoracic aorta aneurysm. He underwent mitral valve replacement with coronary artery bypass surgery and, at a second stage, endovascular stent graft repair of the descending thoracic aorta aneurysm.