What are the important features of late follow-up of Marfan patients undergoing aortic root replacement?
It is absolutely mandatory that these patients have an annual CT scan for several years until it is demonstrated that their residual aorta is stable. For those individuals who have aortic root replacement surgery with a Type I or Type A dissection, they need serial CT scans on a regular basis for the rest of their lives. It is also imperative that patients with a composite graft receive parenteral antibiotic coverage for dental procedures, rather than oral antibiotics as recommended b y The American Heart Association.
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