Gradual dilatation of the ascending aorta is a common phenomenon in patients with
Marfan's disease, which often leads to dissection and rupture. It is estimated that
around two-thirds of the patients either die or require major surgery before the age
of 42 years. In the mirror of the experience of 40 years with aortic wall reinforcement,
the author forward the postulate that whenever the ascending aorta of an individual
with proven Marfan's disease reaches adult size, that is, approximately 3.5 cm in
diameter, the wall of his/her ascending aorta should be reinforced to prevent further
expansion.
Keywords
Marfan’s disease - ascending aorta
