Surgery for congenital diseases of the aorta.
Congenital diseases of the aorta tend to be obstructive when they present early in life, and aneurysmal when they present later in life. The latter group also tends to be associated with connective tissue disorders and with repaired conotruncal lesions. The indications for intervention in the aneurysm group are still in evolution but are clearly age- and lesion-dependant. Disorders such as Loeys-Dietz syndrome and Turner syndrome may deserve aggressive prophylactic surgery, as well as Marfan syndrome to a lesser extent. The natural history of the dilated aorta after repair of congenital heart lesions is probably more benign than de novo aneurysms and therefore should be treated conservatively.
Division of Cardiac Surgery, The Johns Hopkins Medical Institutions, Baltimore, Md. Electronic address: dcameron@jhmi.edu.
Duke
D
Cameron
D000784:Aortic Dissection / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D001014:Aortic Aneurysm / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D003661:Decision Support Techniques; D020022:Genetic Predisposition to Disease; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D018579:Patient Selection; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D014656:Vascular Surgical Procedures