Duke E. Cameron, MD, Diane E. Alejo, BA, Nishant D. Patel, BA, Lois U

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Presentation transcript:

Aortic Root Replacement in 372 Marfan Patients: Evolution of Operative Repair Over 30 Years Duke E. Cameron, MD, Diane E. Alejo, BA, Nishant D. Patel, BA, Lois U. Nwakanma, MD, Eric S. Weiss, MD, Luca A. Vricella, MD, Harry C. Dietz, MD, Philip J. Spevak, MD, Jason A. Williams, MD, Brian T. Bethea, MD, Torin P. Fitton, MD, Vincent L. Gott, MD The Annals of Thoracic Surgery Volume 87, Issue 5, Pages 1344-1350 (May 2009) DOI: 10.1016/j.athoracsur.2009.01.073 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Actuarial survival of 372 Marfan patients after aortic root replacement was 91.9%, 85.5%, 81.0%, and 75.6% at 5, 10, 15, and 20 years, respectively. Effect of dissection present at root operation is also depicted. The Annals of Thoracic Surgery 2009 87, 1344-1350DOI: (10.1016/j.athoracsur.2009.01.073) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Freedom from thromboembolic events in patients with composite grafts was 97.4%, 95.8%, 92.8% and 91.5% at 5, 10, 15, and 20 years, respectively. The Annals of Thoracic Surgery 2009 87, 1344-1350DOI: (10.1016/j.athoracsur.2009.01.073) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Freedom from endocarditis was 97.2%, 95.1%, 94.2%, and 91.7% at 5, 10, 15, and 20 years, respectively. The Annals of Thoracic Surgery 2009 87, 1344-1350DOI: (10.1016/j.athoracsur.2009.01.073) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Freedom from reoperation on the residual aorta was 95.6%, 88.8%, 82.2%, and 72.1% at 5, 10, 15, and 20 years, respectively. Preoperative dissection versus no dissection is also depicted. The Annals of Thoracic Surgery 2009 87, 1344-1350DOI: (10.1016/j.athoracsur.2009.01.073) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions