Reply to “Aortic repair in Marfan Syndrome: Let's not forget the arch when talking about the root”

Urbanski and colleagues' letter on aortic valve sparing in patients with Marfan syndrome (MFS) brought up 2 issues. One was in support of their selective approach to replace 1, 2, or all 3 aortic sinuses1 during remodeling of the aortic root. Most surgeons with experience in treating patients with MFS and other connective tissue disorders would disagree with this approach because if one follows them long enough, the aortic annulus continues to dilate and aortic insufficiency ensues.2 The second issue was how radical one should be with the distal aorta during aortic root surgery in patients with MFS.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Adult: Aorta: Letter to the editor Source Type: research