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Original Articles: Adult Cardiac

Invited Commentary

Department of Cardiac Surgery, Johns Hopkins Hospital, Blalock 618, 600 N Wolfe St, Baltimore, MD 21287

(Email: dcameron@jhmi.edu).

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

Most of the improvement in the life expectancy of Marfan syndrome (MFS) patients over the last 30 years is attributable to improved recognition and prophylactic replacement of ascending aorta and root aneurysm, an operation with low operative risk in the current era. However, as Girdauskas and colleagues [1] demonstrate, root replacement still leaves the patient with a diseased arch and descending thoracoabdominal aorta, particularly if dissection has already occurred before . . . [Full Text of this Article]

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