Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation?

Abstract

Endovascular repair of the dissected descending thoracic aorta can be performed in patients with Marfan syndrome with a low risk of death or major complications. In case of staged procedures, stent graft treatment can be considered a possible alternative to open reoperation. Long-term durability remains to be determined.

Aortic arch replacement with prophylactic aortic arch debranching during type A acute aortic dissection repair: initial experience with 23 patients☆

“…The feasibility of endovascular repair in patients with Marfan's syndrome is widely debated because of the potential risk induced by radial forces of the stent graft on the fragile aortic wall. Despite this, studies have reported encouraging results with endovascular stent grafts used to treat persistent distal aortic dissection after previous aortic procedures [20,21].…”

Endovascular Repair by Graft-to-Graft Bridging in a Patient with Marfan Syndrome

“…1,2) It is known that patients with Marfan syndrome continue to experience aortic degeneration throughout their lives, leading to remedial aortic interventions. As Marfan patients who have been treated with standard open operations advance in age and experience progression of their aortic pathology, the operative risk markedly increases.…”

Endovascular therapy in Marfan syndrome: PRO

“…Mortality was 43% in patients with primary endovascular failure, and 25% overall. Another series, encompassing 12 patients, was published by Botta et al (11). They concluded that endovascular repair was feasible with limited intraoperative or short-term complications.…”