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Ann Thorac Surg 1997;64:1144-1145
© 1997 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 1140.

DR DOUGLAS M. BEHRENDT (Iowa City, IA): Because dissection is rare in children and only 35% of the children in your study had aortic valve insufficiency, aortic root dilatation per se was the indication for operation in most of the patients.

You said that the average size of the aortic root was 6.2 cm, but the $64,000 question is: What is the cutoff point at which operation should be recommended? I presume this is age-related. Could you comment on that, please?

DR GILLINOV: There are insufficient data to determine a specific size at which the aortic root should be replaced in all children with Marfan's syndrome. In adults, we generally use 55 mm, but in children, we individualize the decision to replace the aortic root based on the size of the patient, the size of the aorta, the rate of dilatation of the aorta, and the aortic valve function. We do consult tables that give values for normal aortic diameter according to the age of the patient.

Almost all these children had an increase in the diameter of . . . [Full Text of this Article]


Related Article

Cardiac Operations in Children With Marfan's Syndrome: Indications and Results
A. Marc Gillinov, Kenton J. Zehr, J. Mark Redmond, Vincent L. Gott, Harry C. Deitz, Bruce A. Reitz, John C. Laschinger, and Duke E. Cameron
Ann. Thorac. Surg. 1997 64: 1140-1144. [Abstract] [Full Text]





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