{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:19:06Z","timestamp":1790360346436,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T00:00:00Z","timestamp":1365984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the mid\u2010term outcomes, and the aortic remodeling in Marfan syndrome (MFS) patients with type B dissection that were treated with endovascular repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>MFS is a relative contraindication to thoracic endovascular aortic repair (TEVAR). Mid\u2010term aortic outcomes data in MFS after TEVAR are limited, and the occurrence of late events remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Of 89 patients that underwent TEVAR between September 2002 and February 2011, 10 patients with mid\u2010term follow\u2010up fulfilled the Ghent criteria for MFS and complicated type B dissection. High risk for open surgery was documented in 90%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 35.1 \u00b1 9.4 years and all patients presented with acute aortic syndrome complicating a chronic type B dissection (DeBakey type IIIb). Five patients underwent a Bentall surgical procedure previous to endovascular repair, and in four patients initial TEVAR was followed by surgery of the ascending aorta. Treatment was limited to endovascular repair in only one patient. In\u2010hospital mortality was 10%. At a mean follow\u2010up of 59.6 \u00b1 38.9 months, the cumulated mortality was of 20% and late mortality 11.1%. The rate of secondary endoleak was 44.4%, and late reintervention of 33.3%. Survival freedom from cardiovascular death at 8 years was 80.0%, and positive remodeling was documented in 37.5% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest that TEVAR is feasible, safe, and associated with a high reintervention rate and reduced rate of positive aortic remodeling in patients with Marfan syndrome. Survival at 8 years was comparable to contemporary series of open repair. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.24725","type":"journal-article","created":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T09:50:46Z","timestamp":1365587446000},"source":"Crossref","is-referenced-by-count":39,"title":["Endovascular treatment of type B dissection in patients with marfan syndrome: Mid\u2010term outcomes and aortic remodeling"],"prefix":"10.1002","volume":"82","author":[{"given":"Guering","family":"Eid\u2010Lidt","sequence":"first","affiliation":[{"name":"Department of Interventional Cardiology Instituto Nacional de Cardiolog\u00eda \u201cIgnacio Ch\u00e1vez\u201d Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Gaspar","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Instituto Nacional de Cardiolog\u00eda \u201cIgnacio Ch\u00e1vez\u201d Mexico City 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