Acute Aortic Dissection and Medullary Ischemia in a Patient with Marfan syndrome

Autor: Dário Celestino Sobral Filho, José Breno de Sousa Filho, José Maria Del Castillo, Gustavo Góes, Eugenio Soares de Albuquerque, Diana Lamprea Sepulveda, Ricardo de Carvalho Lima
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Innovative Research in Medical Science. 4
ISSN: 2455-8737
DOI: 10.23958/ijirms/vol04-i07/663
Popis: Marfan syndrome (MS) is an autosomal dominant inherited connective tissue disease. The systemic complications of this disorder occur due to osteo-articular, cardiovascular, and ophthalmologic alterations. The cardiovascular involvement of MS is characterized mainly by aortic root and arch changes, resulting in increased susceptibility for the development of aneurysms. In the present study, we describe a case of type B abdominal aortic dissection in a patient with MS followed by spinal cord ischemia that rapidly evolved to paraplegia. Although rare, medullary ischemia is associated with a poor prognosis, as noted in the present case, wherein the patient died.
Databáze: OpenAIRE