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What about the role of mitral valve surgery in Marfan patients undergoing aortic root replacement?

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What about the role of mitral valve surgery in Marfan patients undergoing aortic root replacement?

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In our experience, virtually all Marfan patients have prolapse of the mitral valve and about 15% of the patients undergoing aortic root replacement have required surgery on the mitral valve for regurgitation. Ordinarily, mitral annuloplasty work s well for these individuals and it’s been rare that mitral valve replacement has been required. We have been very pleased with the excellent long-term results with mitral annuloplasty in our Marfan patients. Certainly, any Marfan patient undergoing aortic root replacement with 3+ MR should have mitral annuloplasty; in fact, at the present time, we would recommend this procedure for patients with 2+ mitral regurgitation who are undergoing a concomitant aortic root replacement.

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