PMID- 16321209
OWN - NLM
STAT- MEDLINE
DCOM- 20070608
LR  - 20221207
IS  - 0376-2491 (Print)
IS  - 0376-2491 (Linking)
VI  - 85
IP  - 32
DP  - 2005 Aug 24
TI  - [Surgical treatment of the aortic root aneurysm related to Marfan syndrome].
PG  - 2279-82
AB  - OBJECTIVE: To review the experience of surgical treatment of aortic root aneurysm 
      of Marfan syndrome. METHODS: We The clinical data of 84 Marfan syndrome patients, 
      61 males and 23 females, aged 35 +/- 12 (5 - 62), 41 cases presenting with aortic 
      dissection (Debakey type I in 32 cases and type II in 9), 52 cases with moderate 
      to severe aortic regurgitation, and 9 cases with moderate to severe mitral 
      regurgitation, 43 cases with cardiac function of class I - II, 30 with class III 
      and 11 with class IV according the New York Heart Association (NYHA) standard, 
      who underwent surgical treatment for aortic root aneurysm with a mean diameter of 
      68 mm +/- 14 mm, were analyzed. Bentall procedure was performed in 68 cases, 
      Wheat procedure in 6, Cabrol procedure in 5, and aortic valve replacement and 
      aortoplasty in 5. Concomitant procedures included mitral value replacement and 
      mitral valvuoplasty in 3 cases respectively. Urgent surgery was conducted in 28 
      cases, and elective operation in 56 cases. RESULTS: There were 3 in-hospital 
      deaths (3.57%). 76 cases were followed up for a mean duration of 55 +/- 31 
      months. Three patients underwent reoperation. The cardiac function returned to 
      class I - II except for 2 cases that remained at the class III. CONCLUSION: 
      Bentall procedure should be the first choice of the surgery for aortic root 
      aneurysm of Marfan syndrome with a low mortality and a good late outcome.
FAU - Zheng, Si-hong
AU  - Zheng SH
AD  - Department of Cardiac surgery, Beijing Anzhen Hospital, Capital University of 
      Medical Sciences, Beijing 100029, China.
FAU - Sun, Yan-qing
AU  - Sun YQ
FAU - Meng, Xu
AU  - Meng X
FAU - Zhang, Hong
AU  - Zhang H
FAU - Hou, Xiao-tong
AU  - Hou XT
FAU - Wang, Jian-gang
AU  - Wang JG
FAU - Gao, Feng
AU  - Gao F
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Yi Xue Za Zhi
JT  - Zhonghua yi xue za zhi
JID - 7511141
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aortic Dissection/*etiology/*surgery
MH  - Aortic Aneurysm/*etiology/*surgery
MH  - Cardiac Surgical Procedures/methods
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Marfan Syndrome/*complications
MH  - Middle Aged
EDAT- 2005/12/03 09:00
MHDA- 2007/06/09 09:00
CRDT- 2005/12/03 09:00
PHST- 2005/12/03 09:00 [pubmed]
PHST- 2007/06/09 09:00 [medline]
PHST- 2005/12/03 09:00 [entrez]
PST - ppublish
SO  - Zhonghua Yi Xue Za Zhi. 2005 Aug 24;85(32):2279-82.