FIGURE 4. A, 4B: Artist’s illustration and computed tomography scans of a descending thoracic aortic aneurysm that developed into a extent II thoracoabdominal aortic aneurysm after first graft replacement (A) and second graft replacement (B) with reattachment of lower intercostal arteries and reimplantation of the celiac axis, superior mesenteric, right and left renal arteries via separate interposition bypass grafts in a Marfan patient.