Marfan's syndrome: combined composite valve graft replacement of the aortic root and transaortic mitral valve replacement.
Echocardiographic studies in patients with Marfan's syndrome indicate that 95% eventually have aortic root dilatation, mitral valve prolapse, or a combination of these. Both lesions can progress and require operation for aortic root aneurysm, aortic valve insufficiency, and mitral valve insufficiency. This report reviews the simplified treatment of 6 patients by combined composite valve graft replacement of the aortic root and transaortic mitral valve replacement at one operation. All patients survived and are well for periods extending from 1 month to 12 months.
Crawford
E S
ES
Department of Surgery, Baylor College of Medicine, Houston, TX.
Coselli
J S
JS
D000328:Adult; D001014:Aortic Aneurysm / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011184:Postoperative Period