Commentary: Tissue may not be the issue in patients with Marfan syndrome and acute type A aortic dissection: Lessons from the German Registry for Acute Aortic Dissection Type A

Abstract

One of the most robust acute type A aortic dissection registries is the German Registry for Acute Aortic Dissection Type A (GERAADA), which over the years (2006-2015) has helped us evaluate outcomes in these patients.1,2 In a new report from the GERAADA, Farag and colleagues3 identified, from a total of 3385 patients who underwent surgery for acute type A aortic dissection, 117 patients (3.5%) diagnosed with Marfan syndrome (MFS). Although this sample may be too small to definitively answer questions regarding early outcomes in patients with MFS, the importance of this study is the multicenter registry data.