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P210.Marfan Syndrome: Prevalence of Aortic Dissection and Postoperative Outcomes in a referral hospital in Mexico

Jesus Sanchez Pacheco Poster Presenter
Instituto Nacional de Cardiologia Ignacio Chavez
Ciudad de Mexico, Federal District 
Mexico  - Contact Me

Dr. Sánchez Pacheco obtained his medical degree in 2012 from the Superior School of Medicine at the National Polytechnic Institute from Mexico. He completed his general surgery residency at Ignacio Zaragoza Hospital in Mexico City, finishing it in 2019. His residency in Cardiothoracic Surgery was at the National Institute of Cardiology Ignacio Chavez in Mexico City, graduated in 2023. After graduating, he started his practice as cardiothoracic surgeon at the same Institute, where he also joined as assistant professor of the Cardiothoracic Surgery residency program. Member of Mexico's National Research System since 2023. He is currently doing a one year postgraduate training in Robotic and less invasive cardiac surgery at Hospital Clínic Barcelona in Spain.

Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square 
Room: Central Park 

Description

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

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

Presentation Duration

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