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