Cerebrovascular atherosclerosis and stroke in patients after coronary artery bypass graft surgery.

This study highlights the changing clinical picture of MFS. Although the literature still notes dissection of the ascending aorta to be the primary cause of death in patients with MFS (4), our data would suggest that those patients with a known diagnosis who receive routine cardiac care do not succumb to complications related to the ascending aorta but rather face ongoing morbidity and mortality related to distal or peripheral arterial disease. Surveillance of the distal aorta and branches is warranted in all adults with MFS.