Key result
Bentall and David operations for Marfan syndrome occur electively in ~88% of patients.
Cohort (n=67)
No
Small Marfan cohort describes aortic root procedures; leaves open comparative long-term outcomes of Bentall versus David techniques.
In-Hospital ResultsOut of One-Hundred and fifty MFS patients followed at our Marfan Center since 2008, 67 (45%) patients underwent surgery.Thirty patients underwent Bentall operation (Bentall Group), 29 underwent David operation (David Group); other surgical procedures were performed in the other patients.Mean patient age of the entire population, 36 men and 31 women, was 35 ± 12 years (range 12 to 62 years).Thirty-nine of 67 patients (58%) were in New York Heart Association (NYHA) class I, twenty-four (36%) in class II, three (4%) in class III and one (2%) in class IV.Fifty-nine patients (88%) underwent elective surgery, while eight patients (12%) needed for emergent surgery.
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Nardi et al. (2016) conducted a cohort in Marfan syndrome (n=67). Aortic root surgery (Bentall or David operation) was evaluated. Among 67 patients with Marfan syndrome undergoing aortic root surgery, 30 received a Bentall operation and 29 received a David operation, with 88% of procedures performed electively.
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