Flynn CD, et al. - Researchers perform systematic review and meta-analysis of surgical outcomes in Marfan patients undergoing aortic root surgery by composite valve graft (CVG) or valve sparing root replacement (VSRR). Observations reveal that VSRR can be reliably performed in Marfan patients, resulting in a durable repair with no raised risk of re-operation compared to CVG, thus avoiding the necessity for systemic anticoagulation in selected patients.