Document Detail


Abdominal aortic dissection with acute mesenteric ischemia in a patient with Marfan syndrome.
MedLine Citation:
PMID:  16903647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Marfan syndrome is an autosomal dominant inherited disorder of connective tissue, with various complications manifested primarily in the cardiovascular system. It potentially leads to aortic dissection and rupture, these being the major causes of death. We report a patient who complained of acute abdominal pain, which presented as acute mesenteric ischemia combined with abdominal aortic dissection. Echocardiography showed enlargement of the aortic root and mitral valve prolapse. Abdominal computed tomography scan revealed acute mesenteric ischemia due to abdominal aortic dissection. Finally, the patient underwent surgery of aortic root replacement and had a successful outcome. Therefore, we suggest that for optimal risk assessment and monitoring of patients with Marfan syndrome, both aortic stiffness and the diameter of the superior mesenteric vein compared with that of the superior mesenteric artery are useful screening methods to detect acute mesenteric ischemia secondary to abdominal aortic dissection. Early diagnosis and early treatment can decrease the high mortality rate of patients with Marfan syndrome.
Authors:
Chii-Shyan Lay; Cheng-Ju Yu; Yeu-Sheng Tyan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  69     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-14     Completed Date:  2006-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  326-9     Citation Subset:  IM    
Affiliation:
Division of Hepatology and Gastroenterology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan, ROC. laycs000@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aneurysm, Dissecting / complications*
Aortic Aneurysm, Abdominal / complications*
Female
Humans
Ischemia / etiology*
Marfan Syndrome / complications*
Mesentery / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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