Double Aortic Dissection in a Patient with Marfan Disease A Case Report on Surgical Management

Introduction:

Study Findings

  • The patient, a 22-year-old male, presented with acute chest and abdominal pain, eventually diagnosed with double aortic dissection.
  • The patient exhibited both Type A and Type B dissection, a rare occurrence in Marfan syndrome cases.
  • Surgical intervention using the Tirone David procedure was successful for the Type A dissection, but the patient’s long-term prognosis remained challenging due to his active smoking and inadequate follow-up care.

Key Takeaways:

  • Double aortic dissection is extremely rare and presents a diagnostic challenge.
  • Early diagnosis and proper surgical management are crucial in preventing fatal outcomes.
  • The lack of genetic testing and family history can delay diagnosis, especially in low-resource settings.

Clinical Implications:

The American Heart Association emphasizes the importance of timely intervention for Marfan syndrome patients to prevent complications like aortic dissection. The need for proper monitoring and early intervention is highlighted to avoid mortality.

Further Reading and Resources

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