title: [Preventive concomitant aortic root replacement for annuloaortic ectasia in a patient with Marfan syndrome undergoing mitral valve replacement for mitral regurgitation].
abstract: A 28-year-old woman presented with Marfan syndrome combined with severe mitral regurgitation and annuloaortic ectasia. The ascending aorta was dilated to 48 mm in diameter without aortic regurgitation. Considering the increased operative risk due to complication with aortic dissection, simultaneous replacement of the mitral valve and aortic root were performed. Her postoperative course was uneventful. Several options of the surgical treatment for Marfan syndrome are discussed.
authors.affiliation: Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo.
authors.forename: M
authors.initials: M
authors.lastname: Takeda
authors.forename: Y
authors.initials: Y
authors.lastname: Kaneko
authors.forename: M
authors.initials: M
authors.lastname: Ninomiya
authors.forename: M
authors.initials: M
authors.lastname: Kawauchi
authors.forename: Y
authors.initials: Y
authors.lastname: Kotsuka
authors.forename: A
authors.initials: A
authors.lastname: Furuse
mesh_terms: D000328:Adult; D001011:Aorta / Q000473:pathology / Q000601:surgery; D001021:Aortic Valve / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D004108:Dilatation, Pathologic; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome