Surgical treatment of ascending aortic aneurysm caused by Marfan Syndrome:a report of 16 cases

VernacularTitle:马凡综合征致升主动脉瘤16例临床分析
Author: Xin LIU ; Songlin DU ; Huifang JIN
Publication Type:Journal Article
Keywords: Marfan syndrome; Bentall operation; valve sparing aortic root replacement
From: Journal of Clinical Surgery 2015;(3):212-214
CountryChina
Language:Chinese
Abstract: Objective To summarize the experience of surgical treatment and to explore the oper-ation method choice of ascending aortic aneurysm caused by Marfan Syndrome. Methods The clinical da-ta of 16 patients from 2005 January to 2011 November were retrospectively analyzed. Results Among all, there was no operative mortality,but 6 cases of early postoperative complications(37. 5%),including 2 ca-ses of arrhythmia,2 cases of pulmonary infection,1 case of renal insufficiency and 1 case of pneumothorax. The follow-up time was 12~63(25 ± 9)months. During follow-up,2 patients died(12. 5%),1 due to rup-tured abdominal aortic aneurysms and 1 due to renal failure. Besides there were 2 cases of anticoagulation complications and 1 case of coronary heart disease. Conclusion Although sparing aortic root replacement of aortic valve has similar curative effect as Bentall operation and avoids the mechanical valve-related com-plications,the indications are relatively strict. Bentall operation is still the first choice for severe patients.