Ascending Aortic Aneurysm - Marfan's Syndrome

Author: Aneet Patel, MD; Edward Verrier, MD
Institution: University of Washington
Date Reviewed: January 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Surgical Approaches to Ascending Aortic Aneurysm
PowerPoint File: Ascending Aortic Aneurysm - Marfan's Syndrome

Discussion Points for Conference

• Indications for AA Replacement with tri-leaflet AV
• Valve sparing surgical options
  • David / Yacoub
• Options if Congenitally Bicuspid valve?
• What if patient had Loeys-Deitz syndrome?
• Operative / Valve choices if valve sparing fails acutely ?
• Technical Operative Steps
• Surveillance
• Complications 

Learning Points

• Bentall operation has been classic standard operative approach
• Valve sparing Aortic Root Replacement is now preferred
  • Annuloaortic Ectasia
  • Marfans Syndrome
  • Trileaflet valve
  • Trace to mild AI