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Results After Thoracic Aortic Reoperations in Marfan Syndrome

Wednesday, April 2, 2014

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975%2813%2902858-0/abstract

Author(s)

Fabian A. Kari, Friedhelm Beyersdorf, Elizabeth H. Stephens, Prisca Peter, Bartosz Rylski, Maximilian Russe, Philipp Blanke, Matthias Siepe

This report summarizes outcomes in 40 reoperated patients (mean age 33 years) of an original 122 who underwent initial aortic root surgery for Marfans. Reoperations took place a mean of nearly 10 years later. 5 and 10 year survivals after second operations were 80% and 66%. Open and stent grafts procedures did not appear to have different outcomes. Acute dissection at the time of first operation was the only strong predictor of mortality.