Marfan Syndrome Treatment

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Questions and Answers

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

  • It accelerated aortic growth rate
  • It had no impact on aortic growth rate
  • It prevented aneurysm formation
  • It was associated with a reduced aortic growth rate (correct)

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

  • Significant reduction in aortic root growth rate with ARB compared to beta blocker
  • Significant reduction in clinical events with ARB compared to beta blocker
  • No significant difference in aortic root growth rate or clinical events between the 2 treatment groups (correct)
  • Higher clinical events with ARB compared to beta blocker

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

  • Prevention of aneurysm formation
  • Acceleration of aortic root growth rates over a 3- to 5-year follow-up
  • Reduction of aortic root growth rates over a 3- to 5-year follow-up (correct)
  • No impact on 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 (B)</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 (B)</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% (C)</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 (D)</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 (B)</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 (B)</p> Signup and view all the answers

What may preclude heart transplantation in adult patients?

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

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