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The Annals of Thoracic Surgery, Vol 45, 296-302, Copyright © 1988 by The Society of Thoracic Surgeons


ARTICLES

Marfan's syndrome: combined composite valve graft replacement of the aortic root and transaortic mitral valve replacement

ES Crawford and JS Coselli
Department of Surgery, Baylor College of Medicine, Houston, TX.

Echocardiographic studies in patients with Marfan's syndrome indicate that 95% eventually have aortic root dilatation, mitral valve prolapse, or a combination of these. Both lesions can progress and require operation for aortic root aneurysm, aortic valve insufficiency, and mitral valve insufficiency. This report reviews the simplified treatment of 6 patients by combined composite valve graft replacement of the aortic root and transaortic mitral valve replacement at one operation. All patients survived and are well for periods extending from 1 month to 12 months.


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