Preliminary communication
Preventative Valve-Sparing Aortic Root Replacement and Pregnancy Outcome in Marfan Syndrome
Vesna Sokol
Gordan Zlopaša
Mislav Herman
Pavao Planinić
Ana Micevska
Abstract
In Marfan syndrome, with dilatation of the aortic root secondary to an underlying connective tissue defect, pregnancy
can cause hemodynamic stress leading to the development of an aortic aneurysm and even a fatal aortic dissection. In the
presence of existing aortic root enlargement and a family history of aortic dissection, preventative elective surgery is suggested.
Aortic root replacement with or without a valve-sparing procedure is superior to total aortic root replacement with
prosthetic valve/tube graft. It provides excellent survival with low rates of aortic – valve related complications.
Keywords
Marfan syndrome; valve-sparing aortic root replacement; pregnancy outcome
Hrčak ID:
84949
URI
Publication date:
10.7.2012.
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