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Surgery of Marfan's syndrome and related conditions of the aortic root (annulo-aortic ectasia)
  1. Donald N. Ross,
  2. Thomas G. Frazier,
  3. Lorenzo Gonzalez-Lavin1
  1. Departments of Surgery, Institute of Cardiology, National Heart Hospital, and Guy's Hospital, London


    The surgical treatment of 14 patients with annulo-aortic ectasia and aortic valve regurgitation secondary to cystic medial necrosis is presented. Resection of the aneurysm and replacement with a tubular graft, and aortic valve replacement with a rigid prosthesis, are advocated for definitive treatment. Eighty-six per cent of the patients survive and are doing well six months to four and a half years after surgery.

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    • 1 Reprint requests to Lorenzo Gonzalez-Lavin, M.D., Institute of Cardiology, 35 Wimpole Street, London W1M 8EX.