Annulo-aortic ectasia — with special reference to total repair of patients with Marfan syndrome

During the years 1975–1993, 92 patients underwent a so-called total repair using the technique developed at our institute (3, 4). In the early 1970s, we used the supracoronary resection technique in 9 cases. Figure 1 shows the first patient ever successfully operated in Finland. Our late results at that time were not good (2). Figure 2 shows the same patient 21 months after the operation. A huge aneurysm is evident which developed from the rim of the ascending aorta left in place above the coronary ostia. Therefore, we initiated our own technique and never used the original Bentall method (1).