84.2k views
1 vote
What is the Aortic Cross-Sectional Area/Height Ratio cutoff for replacement of aortic root replacement in Marfans Syndrome?

1 Answer

6 votes

Final answer:

For aortic root replacement in Marfan's Syndrome, the Aortic Cross-Sectional Area/Height Ratio is a crucial factor in evaluating risk and determining surgical intervention, with a common threshold for surgery being a ratio >10 cm²/m.

Step-by-step explanation:

The question pertains to the criteria for aortic root replacement in patients with Marfan's Syndrome, where the Aortic Cross-Sectional Area/Height Ratio is used as one of the determinants for surgery. This ratio, also referred to as the aortic size index, is a factor utilized by clinicians to assess the risk of aortic complications and to determine the timing of surgical intervention. While specific cutoff values can vary depending on institutional protocols and the presence of risk factors or symptoms, a commonly referenced threshold for considering prophylactic aortic root replacement in Marfan's Syndrome patients is a ratio of >10 cm²/m (square centimeters per meter). It is crucial for clinicians to consider the entirety of the patient's clinical picture, including aortic dimensions, growth rate, family history, and the presence of other risk factors when making decisions about surgery.

User Sargupta
by
7.9k points