Rupture of an abdominal aortic aneurysm in a young man with Marfan Syndrome

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Abstract

Abdominal aortic aneurysms are very rare in Marfan syndrome. We present a case with a young non-smoking and normotensive male with Marfan syndrome, who developed an infrarenal abdominal aortic aneurysm that presented with rupture to the retroperitoneal cavity causing life-threatening bleeding shock. The patient had acute aortic surgery and survived. Five months before this incident, the patient had uneventful elective aortic root replacement (a.m David) due to an enlarged aortic root. At that time, his abdominal aorta was assessed with a routine ultrasound scan that showed a normal sized abdominal aorta. This documents that the aneurysm had evolved very rapidly despite young age, and absence of risk factors.

Original languageEnglish
JournalAnnals of Vascular Surgery
Volume48
Pages (from-to)252.e5-252.e8
Number of pages4
ISSN0890-5096
DOIs
Publication statusPublished - Apr 2018

Bibliographical note

Copyright © 2018 Elsevier Inc. All rights reserved.

Keywords

  • Aortic Aneurysm, Abdominal/diagnostic imaging
  • Aortic Rupture/diagnostic imaging
  • Aortography/methods
  • Biopsy
  • Blood Vessel Prosthesis Implantation
  • Computed Tomography Angiography
  • Humans
  • Male
  • Marfan Syndrome/complications
  • Treatment Outcome
  • Ultrasonography
  • Young Adult

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