Abdominal aortic dissection with acute mesenteric ischemia in a patient with marfan syndrome

Citations of this article
Mendeley users who have this article in their library.


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. © 2006 Elsevier. All rights reserved.




Lay, C. S., Yu, C. J., & Tyan, Y. S. (2006). Abdominal aortic dissection with acute mesenteric ischemia in a patient with marfan syndrome. Journal of the Chinese Medical Association, 69(7), 326–329. https://doi.org/10.1016/S1726-4901(09)70267-9

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free