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Aortic Dissection in Patients With Marfan Syndrome Based on the IRAD Data

Thursday, January 11, 2018

Submitted by

Claire Vernon

Source

Source Name: Annals of Cardiothoracic Surgery

Source URL: http://www.annalscts.com/article/view/16411/html

Author(s)

Hector W. L. de Beaufort, Santi Trimarchi, Amit Korach, Marco Di Eusanio, Dan Gilon, Daniel G. Montgomery, Arturo Evangelista, Alan C. Braverman, Edward P. Chen, Eric M. Isselbacher, Thomas G. Gleason, Carlo De Vincentiis, Thoralf M. Sundt, Himanshu J. Patel, Kim A. Eagle

De Beaufort and colleagues assessed the outcomes of acute aortic dissections in 258 consecutive patients with Marfan syndrome in the International Registry of Acute Aortic Dissection (IRAD) database, comparing these with the dissection outcomes in the general population. Patients with Marfan syndrome were younger and had fewer comorbidities. In-hospital mortality rates were lower for patients with Marfan syndrome than for the general population (10.9% versus 16.9%, p = 0.01). There was lower mortality after open surgical repair of type B aortic dissection when compared to the general population (0% versus 17.6%, p = 0.011). As expected, the freedom from reintervention in the cohort of patients with Marfan syndrome was significantly less than in the general population (44.7% versus 81.5%, p<0.001).