Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Nov;6(6):692-696.
doi: 10.21037/acs.2017.11.02.

Valve-sparing versus composite root replacement procedures in patients with Marfan syndrome

Joseph S Coselli  1   2   3 , Scott A Weldon  1   4 , Ourania Preventza  1   2   3 , Kim I de la Cruz  1   2   3 , Scott A LeMaire  1   2   3
Affiliations
Review

Valve-sparing versus composite root replacement procedures in patients with Marfan syndrome

Joseph S Coselli et al. Ann Cardiothorac Surg. 2017 Nov.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: Dr. Coselli serves as a consultant for Vascutek Ltd., a subsidiary of Terumo Corporation. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Illustration of annuloaortic ectasia, the distinctive aortic root dilatation that is commonly present in patients with Marfan syndrome. (Used with permission of Baylor College of Medicine.)
Figure 2
Figure 2
Preoperative anatomy and postoperative aortic reconstruction for Case 1. Preoperative anatomy (A). Illustration and reconstruction of a computed tomography scan showing the patient’s mildly dilated aortic root (which tapered to a normal aortic diameter in the distal ascending aorta and transverse aortic arch), as well as a portion of the patient’s prior extent II thoracoabdominal aortic aneurysm repair. Postoperative aortic reconstruction (B). An illustration of the completed aortic root reconstruction and replacement of the ascending aorta is shown. A valve-sparing approach to aortic root replacement was used, and the coronary arteries were reattached as buttons. The suture line between the Valsalva graft (containing the reconstructed aortic root) and the tube graft is shown. (Used with permission of Baylor College of Medicine.)
Figure 3
Figure 3
Preoperative anatomy and postoperative aortic reconstruction for Case 2. Preoperative anatomy (A). Illustration and reconstruction of a computed tomography scan showing the patient’s dilated aortic root, ascending aorta, and proximal portion of the transverse aortic arch. Although a valve-sparing approach to aortic root replacement was desired by the patient, the native aortic valve leaflets were unsalvageable because of large fenestrations, especially at the commissures (B). Postoperative aortic reconstruction (C). An illustration of the completed aortic root reconstruction and hemiarch replacement is shown. A valve-replacing approach to aortic root replacement was used, and the coronary arteries were reattached as buttons. The suture line between the composite mechanical valve Valsalva graft and the tube graft is shown. (Used with permission of Baylor College of Medicine.)
Video
Video
Valve-sparing versus composite root replacement procedures in patients with Marfan syndrome.
See this image and copyright information in PMC

References

    1. Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax 1968;23:338-9. 10.1136/thx.23.4.338 - DOI - PMC - PubMed
    1. David TE, Coselli JS, Khoury GE, et al. Aortic valve repair. Semin Thorac Cardiovasc Surg 2015;27:271-87. 10.1053/j.semtcvs.2015.10.010 - DOI - PubMed
    1. Gott VL, Greene PS, Alejo DE, et al. Replacement of the aortic root in patients with Marfan's syndrome. N Engl J Med 1999;340:1307-13. 10.1056/NEJM199904293401702 - DOI - PubMed
    1. Yacoub MH, Gehle P, Chandrasekaran V, et al. Late results of a valve-preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg 1998;115:1080-90. 10.1016/S0022-5223(98)70408-8 - DOI - PubMed
    1. David TE, Feindel CM. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 1992;103:617-21; discussion 622. - PubMed

LinkOut - more resources