Marfan Syndrome Treatment

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What does the retrospective evaluation of children with Marfan syndrome suggest about beta-blocker treatment?

It was associated with a reduced aortic growth rate

What did randomized trials comparing an ARB to a beta blocker in patients with Marfan syndrome find?

No significant difference in aortic root growth rate or clinical events between the 2 treatment groups

What did multiple trials comparing the addition of an ARB to beta-blocker therapy in patients with Marfan syndrome show?

Reduction of aortic root growth rates over a 3- to 5-year follow-up

What was the outcome of losartan treatment in a small, nonrandomized open-label study of children with Marfan syndrome who had previously had rapid aortic root growth?

<p>It dramatically slowed aortic root growth</p> Signup and view all the answers

What did a meta-analysis confirm about combination therapy of ARB and beta-blocker in patients with Marfan syndrome?

<p>Slower aortic growth rates</p> Signup and view all the answers

What is the approximate reoperation rate over 20 years for adult patients with certain cardiac conditions?

<p>10% to 15%</p> Signup and view all the answers

What should symptoms like dyspnea, fatigue, edema, or ascites in adult patients indicate?

<p>Potential right ventricular failure</p> Signup and view all the answers

What is the likely consequence of recurrent stenosis in adult patients?

<p>Catheter intervention to stent the proximal pulmonary arteries</p> Signup and view all the answers

What is the potential implication of ventricular dysfunction precluding further surgery in adult patients?

<p>Consideration of transplantation</p> Signup and view all the answers

What may preclude heart transplantation in adult patients?

<p>Bleeding from MAPCAs and prior pleural scars</p> Signup and view all the answers

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