Early and Long-term Results after Aortic Operations in the Marfan Syndrome

摘要

Fifty-one Marfan patients who underwent aortic operations were reviewed. Most common procedure for aortic pathology was aortic root repair, including Bentall operation and valve-sparing operation. There was no hospital mortality in patients who underwent simple aortic root repair. At discharge aortic dissection was obliterated in 27 patients (group A), and residual dissection remained in 24 patients (group B). Marfan patients often require multiple aortic operations, especially in case of aortic dissection, with good postoperative survival. The whole aorta was replaced in 5 patients. Valve-sparing root repair looks a promising procedure in Marfan syndrome. Aggressive repair for smaller aortic root diameter may reduce the chance of reoperation by preventing aortic dissection.