Marfan Syndrome: Prevalence of Aortic Dissection and Postoperative Outcomes in a referral hospital in Mexico
Presented During:
Thursday, April 25, 2024: 5:38PM - 7:00PM
Sheraton Times Square
Posted Room Name:
Central Park
Abstract No:
P0210
Submission Type:
Abstract Submission
Authors:
Jesus Sanchez Pacheco (1), Benjamin Ivan Hernandez Mejia (2), Humberto Jorge Martinez Hernandez (2), María Elena Soto López (2)
Institutions:
(1) N/A, N/A, (2) Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, NA
Submitting Author:
Jesus Sanchez Pacheco
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Co-Author(s):
Benjamin Ivan Hernandez Mejia
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Instituto Nacional de Cardiología Ignacio Chávez
Instituto Nacional de Cardiología Ignacio Chávez
Humberto Jorge Martinez Hernandez
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Instituto Nacional de Cardiología Ignacio Chávez
Instituto Nacional de Cardiología Ignacio Chávez
María Elena Soto López
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Instituto Nacional de Cardiología Ignacio Chávez
Instituto Nacional de Cardiología Ignacio Chávez
Presenting Author:
Jesus Sanchez Pacheco
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Abstract:
Objective: Describe the characteristics and postoperative outcomes of patients with Marfan syndrome and aortic dissection in a referral hospital in Mexico.
Methods: retrospective study during the period from January 1, 2012 to March 31, 2022.
Results: We identified 74 patients with Marfan syndrome and similar pathologies who underwent surgery; 64 patients met more than two Ghent criteria for Marfan syndrome and 28 of them presented aortic dissection with a prevalence of 4.78%. Aneurysmal dilatation of the ascending aorta was present in 78% of patients with Marfan syndrome, aortic dissection in 44%(28). Acute aortic dissection was the most frequent type of dissection with 17%. The mean age at the time of dissection was 22 ± 3 years. The most frequently performed surgery was Bentall and de Bono in 22 of the patients. Complications occurred in 18 patients with aortic dissection. In-hospital death occurred in 11%.
Conclusions: The high mortality of aortic dissection demands for early diagnosis and comprehensive atention to assess the need for prophylactic intervention.
Working in new strategies for timely diagnosis, screening and decision-making pathways that lead to excellence in the care of patients with Marfan Syndrome is needed for the improvement of outcomes
Methods: retrospective study during the period from January 1, 2012 to March 31, 2022.
Results: We identified 74 patients with Marfan syndrome and similar pathologies who underwent surgery; 64 patients met more than two Ghent criteria for Marfan syndrome and 28 of them presented aortic dissection with a prevalence of 4.78%. Aneurysmal dilatation of the ascending aorta was present in 78% of patients with Marfan syndrome, aortic dissection in 44%(28). Acute aortic dissection was the most frequent type of dissection with 17%. The mean age at the time of dissection was 22 ± 3 years. The most frequently performed surgery was Bentall and de Bono in 22 of the patients. Complications occurred in 18 patients with aortic dissection. In-hospital death occurred in 11%.
Conclusions: The high mortality of aortic dissection demands for early diagnosis and comprehensive atention to assess the need for prophylactic intervention.
Working in new strategies for timely diagnosis, screening and decision-making pathways that lead to excellence in the care of patients with Marfan Syndrome is needed for the improvement of outcomes
Aortic Symposium:
Dissection
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