A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain
Joint Authors
Al-Mohamad, Hussein
Stout, Kara
Bolling, Taryn
Walsh, Ronald
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Marfan syndrome (MFS) is a rare connective tissue disorder attributed to a defect in the fibrillin-1 gene.
Aortic aneurysms and dissection are common causes of morbidity and mortality in Marfan syndrome.
Case Report.
A 43-year-old female with a history of MFS and a 4.0 cm dilated ascending aorta presented to her cardiologist reporting that since a C-section two years prior, the left side of her abdomen painlessly protruded when standing.
An outpatient CT scan of the abdomen/pelvis noted a 5.5 cm abdominal aortic dissection, and she was directed to the hospital.
Repeat CT scan of the abdomen/pelvis revealed a 5.6 cm dissecting aneurysm of the infrarenal abdominal aorta.
The patient was admitted to the ICU and started on a nitroglycerin drip to maintain systolic blood pressure less than 110 mmHg.
The patient underwent repair of her abdominal aortic dissection via a retroperitoneal approach, and she tolerated the procedure well.
She was started on metoprolol tartrate 12.5 mg BID and aspirin 81 mg postoperatively.
She was safely discharged with follow-up care.
Conclusion.
This case stresses the importance of having a low threshold to obtain imaging in a MFS patient with protruding abdomen, even though the patient may not have pain and be hemodynamically stable.
American Psychological Association (APA)
Al-Mohamad, Hussein& Stout, Kara& Bolling, Taryn& Walsh, Ronald. 2020. A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain. Case Reports in Cardiology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146072
Modern Language Association (MLA)
Al-Mohamad, Hussein…[et al.]. A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain. Case Reports in Cardiology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1146072
American Medical Association (AMA)
Al-Mohamad, Hussein& Stout, Kara& Bolling, Taryn& Walsh, Ronald. A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain. Case Reports in Cardiology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146072
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146072