Valve-sparing versus composite root replacement procedures in patients with Marfan syndrome.
نویسندگان
چکیده
Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA; Section of Adult Cardiac Surgery, Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA; CHI St. Luke’s Health–Baylor St. Luke’s Medical Center, Houston, Texas, USA; Surgical Research Core, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA Correspondence to: Scott A. LeMaire, MD. One Baylor Plaza, BCM 390, Houston, TX 77030, USA. Email: [email protected].
منابع مشابه
Valve-sparing aortic root replacement in Marfan syndrome.
Marfan syndrome is the most common inherited connective tissue disorder, affecting approximately 1 in 10,000 live births. The cardinal features of Marfan syndrome are the abnormalities of the skeleton (tall stature, arachnodactyly, and joint hyperelasticity), eye (lens subluxation), and aorta (root aneurysm with proclivity toward rupture and dissection). Aortic catastrophe accounts for most of ...
متن کاملSurgery of the aortic root: should we go for the valve-sparing root reconstruction or the composite graft-valve replacement is still the first choice of treatment for these patients?
OBJECTIVE To compare the results of the root reconstruction with the aortic valve-sparing operation versus composite graft-valve replacement. METHODS From January 2002 to October 2013, 324 patients underwent aortic root reconstruction. They were 263 composite graft-valve replacement and 61 aortic valve-sparing operation (43 reimplantation and 18 remodeling). Twenty-six percent of the patients...
متن کاملSystematic review and meta-analysis of surgical outcomes in Marfan patients undergoing aortic root surgery by composite-valve graft or valve sparing root replacement.
Background A major, life-limiting feature of Marfan syndrome (MFS) is the presence of aneurysmal disease. Cardiovascular intervention has dramatically improved the life expectancy of Marfan patients. Traditionally, the management of aortic root disease has been undertaken with composite-valve graft replacing the aortic valve and proximal aorta; more recently, valve sparing procedures have been ...
متن کاملAortic Root Replacement: A Comparison of Valve- Sparing Procedures With Mechanical Valve Replacement in Patients With Marfan Syndrome
Background: Historically, surgical replacement of the aortic root in Marfan syndrome patients involved replacing the native valve with a mechanical valve resulting in the need for life-long anticoagulation. Recently, surgeons have developed procedures that spare, rather than replace the aortic valve during aortic root replacement. The goal of this systematic review is to compare valve-sparing a...
متن کاملPii: S1010-7940(00)00379-1
Objective: To evaluate the results of two operations, aortic valve-sparing and aortic root replacement, in patients with aortic root aneurysm and the Marfan syndrome. Methods: A retrospective review of 78 consecutive patients with aortic root aneurysm and the Marfan syndrome according to the Gent criteria indicated that 42 patients with normal aortic cusps had an aortic valve-sparing operation,...
متن کاملMitral valve disease in patients with Marfan syndrome undergoing aortic root replacement.
BACKGROUND Cardiac manifestations of Marfan syndrome include aortic root dilation and mitral valve prolapse (MVP). Only scant data exist describing MVP in patients with Marfan syndrome undergoing aortic root replacement. METHODS AND RESULTS We retrospectively analyzed data from 166 MFS patients with MVP who were enrolled in a prospective multicenter registry of patients who underwent aortic r...
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ورودعنوان ژورنال:
- Annals of cardiothoracic surgery
دوره 6 6 شماره
صفحات -
تاریخ انتشار 2017