Endovascular Aortic Repair in Marfan and Loeys-Dietz Patients Is Safe and Durable When Completed by a Multidisciplinary Aortic Team

The authors report on midterm outcomes in 39 patients with Marfan (MFS) or Loeys-Dietz syndrome (LDS) after endovascular aortic repair (EVAR). Patients were analyzed based on planned versus emergency procedure and safe or unsafe landing zone. Thirty-four patients had thoracic EVAR and five had abdominal EVAR. There were no statistically significant differences between reinterventions in patients with safe and unsafe landing zones, or between emergency and planned procedures. The authors conclude that EVAR in these patients is feasible and safe. EVAR is viable in connective tissue disease when used by a multidisciplinary aortic team, even when the landing zone is in native tissue.