The Marfan syndrome patient undergoes care by many different physician
s for the treatment of the varied systems affected by this connective
tissue disorder. The most frequent visits are to a cardiologist, with
referral to a cardiovascular surgeon who attends to the problems of di
latation and dissection of the ascending aorta. Follow-up is lifelong.
Although currently some surgeons prefer to resuspend rather than repl
ace the aortic valve, composite valve graft replacement for aortic roo
t dilatation and aortic valve insufficiency has steadily improved pati
ent outcome. At the same time, the almost daily discoveries of genetic
science show great promise in eliminating connective tissue disorders
such as Marfan syndrome in the not-too-distant future. (C) 1998 Rapid
Science Publishers.