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Ann Thorac Surg 1988;45:296-302
© 1988 The Society of Thoracic Surgeons
From the Department of Surgery, Baylor College of Medicine and The Methodist Hospital, Houston, TX
Accepted for publication October 15, 1987.
* Address reprint requests to Dr. Crawford, 6535 Fannin St, MS B-405, Houston, TX 77030
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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