An autosomal dominant disorder of CONNECTIVE TISSUE with abnormal features in the heart, the eye, and the skeleton. Cardiovascular manifestations include MITRAL VALVE PROLAPSE, dilation of the AORTA, and aortic dissection. Other features include lens displacement (ectopia lentis), disproportioned long limbs and enlarged DURA MATER (dural ectasia). Marfan syndrome is associated with mutations in the gene encoding fibrillin, a major element of extracellular microfibrils of connective tissue.
A characteristic symptom complex.
Monomeric subunits of primarily globular ACTIN and found in the cytoplasmic matrix of almost all cells. They are often associated with microtubules and may play a role in cytoskeletal function and/or mediate movement of the cell or the organelles within the cell.
An abnormal balloon- or sac-like dilatation in the wall of AORTA.
Congenital displacement of the lens resulting from defective zonule formation.
Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.
An autosomal dominant aneurysm with multisystem abnormalities caused by increased TGF-BETA signaling due to mutations in type I or II of TGF-BETA RECEPTOR. Additional craniofacial features include CLEFT PALATE; CRANIOSYNOSTOSIS; HYPERTELORISM; or bifid uvula. Phenotypes closely resemble MARFAN SYNDROME; Marfanoid craniosynostosis syndrome (Shprintzen-Goldberg syndrome); and EHLERS-DANLOS SYNDROME.
Components of the extracellular matrix consisting primarily of fibrillin. They are essential for the integrity of elastic fibers.
The condition of an anatomical structure's being dilated beyond normal dimensions.
An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.
Abnormal protrusion or billowing of one or both of the leaflets of MITRAL VALVE into the LEFT ATRIUM during SYSTOLE. This allows the backflow of blood into left atrium leading to MITRAL VALVE INSUFFICIENCY; SYSTOLIC MURMURS; or CARDIAC ARRHYTHMIA.
A specific pair of GROUP D CHROMOSOMES of the human chromosome classification.
Connective tissue comprised chiefly of elastic fibers. Elastic fibers have two components: ELASTIN and MICROFIBRILS.
The record of descent or ancestry, particularly of a particular condition or trait, indicating individual family members, their relationships, and their status with respect to the trait or condition.
A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax.
'Elastin' is a highly elastic protein in connective tissue that allows many tissues in the body to resume their shape after stretching or contracting, such as the skin, lungs, and blood vessels.
The main trunk of the systemic arteries.
Pathological processes involving any part of the AORTA.
A chromosome disorder associated either with an extra chromosome 21 or an effective trisomy for chromosome 21. Clinical manifestations include hypotonia, short stature, brachycephaly, upslanting palpebral fissures, epicanthus, Brushfield spots on the iris, protruding tongue, small ears, short, broad hands, fifth finger clinodactyly, Simian crease, and moderate to severe INTELLECTUAL DISABILITY. Cardiac and gastrointestinal malformations, a marked increase in the incidence of LEUKEMIA, and the early onset of ALZHEIMER DISEASE are also associated with this condition. Pathologic features include the development of NEUROFIBRILLARY TANGLES in neurons and the deposition of AMYLOID BETA-PROTEIN, similar to the pathology of ALZHEIMER DISEASE. (Menkes, Textbook of Child Neurology, 5th ed, p213)
A cluster of metabolic risk factors for CARDIOVASCULAR DISEASES and TYPE 2 DIABETES MELLITUS. The major components of metabolic syndrome X include excess ABDOMINAL FAT; atherogenic DYSLIPIDEMIA; HYPERTENSION; HYPERGLYCEMIA; INSULIN RESISTANCE; a proinflammatory state; and a prothrombotic (THROMBOSIS) state. (from AHA/NHLBI/ADA Conference Proceedings, Circulation 2004; 109:551-556)
Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
Abnormal protrusion of one or more of the leaflets of TRICUSPID VALVE into the RIGHT ATRIUM during SYSTOLE. This allows the backflow of blood into right atrium leading to TRICUSPID VALVE INSUFFICIENCY; SYSTOLIC MURMURS. Its most common cause is not primary valve abnormality but rather the dilation of the RIGHT VENTRICLE and the tricuspid annulus.
Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root).
The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.

Endothelial function in Marfan syndrome: selective impairment of flow-mediated vasodilation. (1/518)

BACKGROUND: The cardiovascular complications of Marfan syndrome arise due to alterations in the structural and functional properties of fibrillin, a constituent of vascular connective tissues. Fibrillin-containing microfibrils are closely associated with arterial endothelial cells, indicating a possible functional role for fibrillin in the endothelium. Plasma concentrations of endothelial cell products are elevated in Marfan subjects, which indirectly indicates endothelial dysfunction. This study directly assessed flow- and agonist-mediated endothelium-dependent brachial artery reactivity in Marfan subjects. METHODS AND RESULTS: In 20 Marfan and 20 control subjects, brachial artery diameter, blood flow, and blood pressure were measured by ultrasonic wall tracking, Doppler ultrasound, and photoplethysmography, respectively. Measurements were taken during hand hyperemia (a stimulus for endothelium-derived nitric oxide [NO] release in the upstream brachial artery) and after sublingual administration of the endothelium-independent vasodilator nitroglycerin. In 9 Marfan and 6 control subjects, the above parameters were also assessed during intra-arterial infusions of acetylcholine and bradykinin (agonists that stimulate NO production) and NG-monomethyl-L-arginine (L-NMMA, an inhibitor of NO production). Flow-mediated responses differed markedly between Marfan and control subjects (-1.6+/-3.5% versus 6. 50+/-4.1%, respectively; P<0.0001), whereas nitroglycerin produced similar vasodilation (14.2+/-5.7% versus 15.2+/-7.8%; P=NS). Agonist-induced vasodilation to incremental intra-arterial infusions of acetylcholine and bradykinin were not significantly different between Marfan and control subjects, and intra-arterial L-NMMA produced similar reductions in brachial artery diameter in both groups. CONCLUSIONS: These data demonstrate impaired flow-mediated but preserved agonist-mediated endothelium-dependent vasodilation in Marfan subjects and suggest preservation of basal NO release. Selective loss of flow-mediated dilation suggests a role for fibrillin in endothelial cell mechanotransduction.  (+info)

Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques. (2/518)

BACKGROUND: The modern imaging techniques of transesophageal echocardiography, CT, and MRI are reported to have up to 100% sensitivity in detecting the classic class of aortic dissection; however, anecdotal reports of patient deaths from a missed diagnosis of subtle classes of variants are increasingly being noted. METHODS AND RESULTS: In a series of 181 consecutive patients who had ascending or aortic arch repairs, 9 patients (5%) had subtle aortic dissection not diagnosed preoperatively. All preoperative studies in patients with missed aortic dissection were reviewed in detail. All 9 patients (2 with Marfan syndrome, 1 with Takayasu's disease) with undiagnosed aortic dissection had undergone >/=3 imaging techniques, with the finding of ascending aortic dilatation (4.7 to 9 cm) in all 9 and significant aortic valve regurgitation in 7. In 6 patients, an eccentric ascending aortic bulge was present but not diagnostic of aortic dissection on aortography. At operation, aortic dissection tears were limited in extent and involved the intima without extensive undermining of the intima or an intimal "flap." Eight had composite valve grafts inserted, and all survived. Of the larger series of 181 patients, 98% (179 of 181) were 30-day survivors. CONCLUSIONS: In patients with suspected aortic dissection not proven by modern noninvasive imaging techniques, further study should be performed, including multiple views of the ascending aorta by aortography. If patients have an ascending aneurysm, particularly if eccentric on aortography and associated with aortic valve regurgitation, an urgent surgical repair should be considered, with excellent results expected.  (+info)

Recurrence of Marfan syndrome as a result of parental germ-line mosaicism for an FBN1 mutation. (3/518)

Mutations in the FBN1 gene cause Marfan syndrome (MFS), a dominantly inherited connective tissue disease. Almost all the identified FBN1mutations have been family specific, and the rate of new mutations is high. We report here a de novo FBN1mutation that was identified in two sisters with MFS born to clinically unaffected parents. The paternity and maternity were unequivocally confirmed by genotyping. Although one of the parents had to be an obligatory carrier for the mutation, we could not detect the mutation in the leukocyte DNA of either parent. To identify which parent was a mosaic for the mutation we analyzed several tissues from both parents, with a quantitative and sensitive solid-phase minisequencing method. The mutation was not, however, detectable in any of the analyzed tissues. Although the mutation could not be identified in a sperm sample from the father or in samples of multiple tissue from the mother, we concluded that the mother was the likely mosaic parent and that the mutation must have occurred during the early development of her germ-line cells. Mosaicism confined to germ-line cells has rarely been reported, and this report of mosaicism for the FBN1 mutation in MFS represents an important case, in light of the evaluation of the recurrence risk in genetic counseling of families with MFS.  (+info)

Pathogenetic sequence for aneurysm revealed in mice underexpressing fibrillin-1. (4/518)

Dissecting aortic aneurysm is the hallmark of Marfan syndrome (MFS) and the result of mutations in fibrillin-1, the major constituent of elastin-associated extracellular microfibrils. It is yet to be established whether dysfunction of fibrillin-1 perturbs the ability of the elastic vessel wall to sustain hemodynamic stress by disrupting microfibrillar assembly, by impairing the homeostasis of established elastic fibers, or by a combination of both mechanisms. The pathogenic sequence responsible for the mechanical collapse of the elastic lamellae in the aortic wall is also unknown. Targeted mutation of the mouse fibrillin-1 gene has recently suggested that deficiency of fibrillin-1 reduces tissue homeostasis rather than elastic fiber formation. Here we describe another gene-targeting mutation, mgR, which shows that underexpression of fibrillin-1 similarly leads to MFS-like manifestations. Histopathological analysis of mgR/mgR specimens implicates medial calcification, the inflammatory-fibroproliferative response, and inflammation-mediated elastolysis in the natural history of dissecting aneurysm. More generally, the phenotypic severity associated with various combinations of normal and mutant fibrillin-1 alleles suggests a threshold phenomenon for the functional collapse of the vessel wall that is based on the level and the integrity of microfibrils.  (+info)

Fragile lung in the Marfan syndrome. (5/518)

Two cases of the Marfan syndrome presented with spontaneous pneumothorax. Both had chest radiographs showing bilateral bullae in the upper lung zones and pulmonary function tests consistent with mild emphysema. There were dereases in forced expiratory flow rates at low lung volumes, carbon monoxide transfer factor, and lung elastic recoil. It is suggested that pneumothorax and bullous emphysema in this syndrome are caused by a weakness in the pulmonary connective tissue framework.  (+info)

Replacement of the aortic root in patients with Marfan's syndrome. (6/518)

BACKGROUND: Replacement of the aortic root with a prosthetic graft and valve in patients with Marfan's syndrome may prevent premature death from rupture of an aneurysm or aortic dissection. We reviewed the results of this surgical procedure at 10 experienced surgical centers. METHODS: A total of 675 patients with Marfan's syndrome underwent replacement of the aortic root. Survival and morbidity-free survival curves were calculated, and risk factors were determined from a multivariable regression analysis. RESULTS: The 30-day mortality rate was 1.5 percent among the 455 patients who underwent elective repair, 2.6 percent among the 117 patients who underwent urgent repair (within 7 days after a surgical consultation), and 11.7 percent among the 103 patients who underwent emergency repair (within 24 hours after a surgical consultation). Of the 675 patients, 202 (30 percent) had aortic dissection involving the ascending aorta. Forty-six percent of the 158 adult patients with aortic dissection and a documented aortic diameter had an aneurysm with a diameter of 6.5 cm or less. There were 114 late deaths (more than 30 days after surgery); dissection or rupture of the residual aorta (22 patients) and arrhythmia (21 patients) were the principal causes of late death. The risk of death was greatest within the first 60 days after surgery, then rapidly decreased to a constant level by the end of the first year. CONCLUSIONS: Elective aortic-root replacement has a low operative mortality. In contrast, emergency repair, usually for acute aortic dissection, is associated with a much higher early mortality. Because nearly half the adult patients with aortic dissection had an aortic-root diameter of 6.5 cm or less at the time of operation, it may be prudent to undertake prophylactic repair of aortic aneurysms in patients with Marfan's syndrome when the diameter of the aorta is well below that size.  (+info)

Joint hypermobility and genetic collagen disorders: are they related? (7/518)

The HDCTs constitute a heterogeneous group of rare genetically determined diseases, the best known of which are Ehlers-Danlos and Marfan syndromes and osteogenesis imperfecta. Hypermobility is a feature common to them all, but it is also a feature that is highly prevalent in the population at large. Symptomatic hypermobile subjects (whose symptoms are attributable to their hypermobility) are said to be suffering from the benign joint hypermobility syndrome, which has many features that overlap with the HDCTs. It is not yet known whether there is a variety of hypermobility (symptomatic or otherwise) that is not part of a connective tissue disorder.  (+info)

Central pulse pressure is a major determinant of ascending aorta dilation in Marfan syndrome. (8/518)

BACKGROUND: In patients with Marfan syndrome (MFS), brachial pulse pressure (PP) has been recognized as a risk factor for aortic dilatation, leading to aortic dissection, the main cause of premature death. However, the relationships between aortic PP, aortic stiffness, and aortic root dilation have not been investigated. Our main objective was to determine whether central PP, which takes into account wave reflections and aortic stiffness, is a better determinant of ascending aorta diameter than brachial PP in MFS patients. METHODS AND RESULTS: Twenty patients with confirmed MFS and 20 age- and sex-matched control subjects were included in this cross-sectional, noninvasive study. Elastic properties of the abdominal aorta and common carotid, common femoral, and radial arteries were calculated from the pulsatile changes in arterial diameter and pressure. The ascending aorta diameter, measured with conventional echocardiography, was 37% larger in MFS than in control subjects (P<0.001). Arterial distensibility was 38% lower in MFS than in control subjects at the site of the abdominal aorta (P<0.01) but not at other sites (common carotid, common femoral, and radial arteries). Independently of age and body surface area, ascending aorta diameter was positively correlated with carotid PP in MFS (P<0. 01) and negatively in control subjects (P<0.01) but was not correlated with brachial PP and mean blood pressure. CONCLUSIONS: In patients with MFS, local PP, estimated from carotid PP, was a major determinant of ascending aorta diameter, whereas brachial PP was not. Increased arterial stiffness was confined to the aorta.  (+info)

Marfan syndrome is a genetic disorder that affects the body's connective tissue. Connective tissue helps to strengthen and support various structures in the body, including the skin, ligaments, blood vessels, and heart. In Marfan syndrome, the body produces an abnormal amount of a protein called fibrillin-1, which is a key component of connective tissue. This leads to problems with the formation and function of connective tissue throughout the body.

The most serious complications of Marfan syndrome typically involve the heart and blood vessels. The aorta, which is the large artery that carries blood away from the heart, can become weakened and stretched, leading to an increased risk of aortic dissection or rupture. Other common features of Marfan syndrome include long, thin fingers and toes; tall stature; a curved spine; and eye problems such as nearsightedness and lens dislocation.

Marfan syndrome is usually inherited in an autosomal dominant pattern, which means that a child has a 50% chance of inheriting the gene mutation from a parent who has the condition. However, about 25% of cases are the result of a new mutation and occur in people with no family history of the disorder. There is no cure for Marfan syndrome, but treatment can help to manage the symptoms and reduce the risk of complications.

A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.

For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.

It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.

Microfilament proteins are a type of structural protein that form part of the cytoskeleton in eukaryotic cells. They are made up of actin monomers, which polymerize to form long, thin filaments. These filaments are involved in various cellular processes such as muscle contraction, cell division, and cell motility. Microfilament proteins also interact with other cytoskeletal components like intermediate filaments and microtubules to maintain the overall shape and integrity of the cell. Additionally, they play a crucial role in the formation of cell-cell junctions and cell-matrix adhesions, which are essential for tissue structure and function.

An aortic aneurysm is a medical condition characterized by the abnormal widening or bulging of the wall of the aorta, which is the largest artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. When the aortic wall weakens, it can stretch and balloon out, forming an aneurysm.

Aortic aneurysms can occur anywhere along the aorta but are most commonly found in the abdominal section (abdominal aortic aneurysm) or the chest area (thoracic aortic aneurysm). The size and location of the aneurysm, as well as the patient's overall health, determine the risk of rupture and associated complications.

Aneurysms often do not cause symptoms until they become large or rupture. Symptoms may include:

* Pain in the chest, back, or abdomen
* Pulsating sensation in the abdomen
* Difficulty breathing
* Hoarseness
* Coughing or vomiting

Risk factors for aortic aneurysms include age, smoking, high blood pressure, family history, and certain genetic conditions. Treatment options depend on the size and location of the aneurysm and may include monitoring, medication, or surgical repair.

Ectopia lentis is a medical term that refers to the displacement or malpositioning of the lens in the eye. The lens, which is normally located behind the iris and held in place by tiny fibers called zonules, can become dislocated due to various reasons such as genetic disorders like Marfan syndrome, trauma, or other ocular diseases.

When the lens becomes displaced, it can cause a variety of symptoms including blurry vision, double vision, sensitivity to light, and distorted images. In some cases, ectopia lentis may be asymptomatic and only discovered during a routine eye examination. Treatment for ectopia lentis depends on the severity of the displacement and any associated symptoms. In mild cases, no treatment may be necessary, while in more severe cases, surgery may be required to reposition or remove the lens and replace it with an artificial one.

A dissecting aneurysm is a serious and potentially life-threatening condition that occurs when there is a tear in the inner layer of the artery wall, allowing blood to flow between the layers of the artery wall. This can cause the artery to bulge or balloon out, leading to a dissection aneurysm.

Dissecting aneurysms can occur in any artery, but they are most commonly found in the aorta, which is the largest artery in the body. When a dissecting aneurysm occurs in the aorta, it is often referred to as a "dissecting aortic aneurysm."

Dissecting aneurysms can be caused by various factors, including high blood pressure, atherosclerosis (hardening and narrowing of the arteries), genetic disorders that affect the connective tissue, trauma, or illegal drug use (such as cocaine).

Symptoms of a dissecting aneurysm may include sudden severe chest or back pain, which can feel like ripping or tearing, shortness of breath, sweating, lightheadedness, or loss of consciousness. If left untreated, a dissecting aneurysm can lead to serious complications, such as rupture of the artery, stroke, or even death.

Treatment for a dissecting aneurysm typically involves surgery or endovascular repair to prevent further damage and reduce the risk of rupture. The specific treatment approach will depend on various factors, including the location and size of the aneurysm, the patient's overall health, and their medical history.

Loeys-Dietz Syndrome (LDS) is a genetic disorder that affects the connective tissue in the body. It is characterized by widespread arterial abnormalities, including aneurysms and dissections, which can occur at a young age and in smaller arteries than is typically seen in other genetic disorders. LDS also features distinctive facial features, skeletal abnormalities, and skin manifestations.

The syndrome is caused by mutations in genes that provide instructions for making proteins involved in the development and maintenance of the connective tissue, which provides structure, strength, and flexibility to various parts of the body. The most commonly affected genes are TGFBR1 and TGFBR2, which encode transforming growth factor beta receptors 1 and 2, respectively.

LDS is inherited in an autosomal dominant manner, meaning that a child has a 50% chance of inheriting the mutated gene from an affected parent. However, de novo (spontaneous) mutations can also occur, resulting in individuals with LDS who do not have a family history of the condition.

Due to the significant risk of arterial complications and other potentially life-threatening manifestations, individuals with LDS require close medical monitoring and management by a multidisciplinary team of healthcare professionals.

Microfibrils are tiny, thread-like structures that are found in the extracellular matrix (the material that surrounds and supports cells) of many types of biological tissues. They are made up of bundles of long, thin proteins called fibrillins, which are joined together by other proteins such as microfibril-associated glycoproteins (MAGPs).

Microfibrils play an important role in providing structural support and elasticity to tissues. They are particularly abundant in the connective tissue that surrounds blood vessels, where they help to regulate the diameter of the vessels and maintain blood pressure. Microfibrils are also found in the elastic fibers of the lungs, skin, and other tissues, where they contribute to the ability of these tissues to stretch and recoil.

In addition to their structural roles, microfibrils have been shown to play a role in regulating cell behavior and signaling. For example, they can bind to growth factors and other signaling molecules, helping to control the activity of these molecules and influence cellular processes such as proliferation, differentiation, and migration.

Abnormalities in microfibril structure or function have been linked to a number of diseases, including Marfan syndrome, Loeys-Dietz syndrome, and cutis laxa. These conditions are characterized by problems with connective tissue strength and elasticity, which can lead to a range of symptoms such as skeletal abnormalities, cardiovascular disease, and skin fragility.

Pathologic dilatation refers to an abnormal and excessive widening or enlargement of a body cavity or organ, which can result from various medical conditions. This abnormal dilation can occur in different parts of the body, including the blood vessels, digestive tract, airways, or heart chambers.

In the context of the cardiovascular system, pathologic dilatation may indicate a weakening or thinning of the heart muscle, leading to an enlarged chamber that can no longer pump blood efficiently. This condition is often associated with various heart diseases, such as cardiomyopathy, valvular heart disease, or long-standing high blood pressure.

In the gastrointestinal tract, pathologic dilatation may occur due to mechanical obstruction, neuromuscular disorders, or inflammatory conditions that affect the normal motility of the intestines. Examples include megacolon in Hirschsprung's disease, toxic megacolon in ulcerative colitis, or volvulus (twisting) of the bowel.

Pathologic dilatation can lead to various complications, such as reduced organ function, impaired circulation, and increased risk of infection or perforation. Treatment depends on the underlying cause and may involve medications, surgery, or other interventions to address the root problem and prevent further enlargement.

A thoracic aortic aneurysm is a localized dilatation or bulging of the thoracic aorta, which is the part of the aorta that runs through the chest cavity. The aorta is the largest artery in the body, and it carries oxygenated blood from the heart to the rest of the body.

Thoracic aortic aneurysms can occur anywhere along the thoracic aorta, but they are most commonly found in the aortic arch or the descending thoracic aorta. These aneurysms can vary in size, and they are considered significant when they are 50% larger than the expected normal diameter of the aorta.

The exact cause of thoracic aortic aneurysms is not fully understood, but several factors can contribute to their development, including:

* Atherosclerosis (hardening and narrowing of the arteries)
* High blood pressure
* Genetic disorders such as Marfan syndrome or Ehlers-Danlos syndrome
* Infections or inflammation of the aorta
* Trauma to the chest

Thoracic aortic aneurysms can be asymptomatic and found incidentally on imaging studies, or they may present with symptoms such as chest pain, cough, difficulty swallowing, or hoarseness. If left untreated, thoracic aortic aneurysms can lead to serious complications, including aortic dissection (tearing of the inner layer of the aorta) or rupture, which can be life-threatening.

Treatment options for thoracic aortic aneurysms include medical management with blood pressure control and cholesterol-lowering medications, as well as surgical repair or endovascular stenting, depending on the size, location, and growth rate of the aneurysm. Regular follow-up imaging is necessary to monitor the size and progression of the aneurysm over time.

Mitral valve prolapse (MVP) is a heart condition where the mitral valve, which separates the left atrium and left ventricle in the heart, doesn't function properly. In MVP, one or both of the mitral valve flaps (known as leaflets) bulge or billow into the left atrium during the contraction of the left ventricle. This prolapse can cause a leakage of blood back into the atrium, known as mitral regurgitation. In many cases, MVP is asymptomatic and doesn't require treatment, but in some instances, it may lead to complications such as infective endocarditis or arrhythmias. The exact causes of MVP are not fully understood, but it can be associated with certain genetic factors, connective tissue disorders, and mitral valve abnormalities present at birth.

Human chromosome pair 15 consists of two rod-shaped structures present in the nucleus of each cell in the human body. Each chromosome is made up of DNA tightly coiled around histone proteins, forming a complex structure called a chromatin.

Chromosomes come in pairs, with one chromosome inherited from each parent. Chromosome pair 15 includes two homologous chromosomes, meaning they have the same size, shape, and gene content but may contain slight variations in their DNA sequences.

These chromosomes play a crucial role in inheritance and the development and function of the human body. Chromosome pair 15 contains around 100 million base pairs of DNA and approximately 700 protein-coding genes, which are involved in various biological processes such as growth, development, metabolism, and regulation of gene expression.

Abnormalities in chromosome pair 15 can lead to genetic disorders, including Prader-Willi syndrome and Angelman syndrome, which are caused by the loss or alteration of specific regions on chromosome 15.

Elastic tissue is a type of connective tissue found in the body that is capable of returning to its original shape after being stretched or deformed. It is composed mainly of elastin fibers, which are protein molecules with a unique structure that allows them to stretch and recoil. Elastic tissue is found in many areas of the body, including the lungs, blood vessels, and skin, where it provides flexibility and resilience.

The elastin fibers in elastic tissue are intertwined with other types of connective tissue fibers, such as collagen, which provide strength and support. The combination of these fibers allows elastic tissue to stretch and recoil efficiently, enabling organs and tissues to function properly. For example, the elasticity of lung tissue allows the lungs to expand and contract during breathing, while the elasticity of blood vessels helps maintain blood flow and pressure.

Elastic tissue can become less flexible and resilient with age or due to certain medical conditions, such as emphysema or Marfan syndrome. This can lead to a variety of health problems, including respiratory difficulties, cardiovascular disease, and skin sagging.

I must clarify that the term "pedigree" is not typically used in medical definitions. Instead, it is often employed in genetics and breeding, where it refers to the recorded ancestry of an individual or a family, tracing the inheritance of specific traits or diseases. In human genetics, a pedigree can help illustrate the pattern of genetic inheritance in families over multiple generations. However, it is not a medical term with a specific clinical definition.

Pectus Excavatum, commonly referred to as "Funnel Chest," is a congenital deformity of the chest wall where the sternum (breastbone) and rib cartilages grow inward, creating a sunken or caved-in appearance of the chest. This condition can vary in severity, from mild to severe, and may affect one's appearance, breathing, and overall health. In some cases, surgical intervention might be required to correct the deformity and improve related symptoms.

Elastin is a protein that provides elasticity to tissues and organs, allowing them to resume their shape after stretching or contracting. It is a major component of the extracellular matrix in many tissues, including the skin, lungs, blood vessels, and ligaments. Elastin fibers can stretch up to 1.5 times their original length and then return to their original shape due to the unique properties of this protein. The elastin molecule is made up of cross-linked chains of the protein tropoelastin, which are produced by cells called fibroblasts and then assembled into larger elastin fibers by enzymes called lysyl oxidases. Elastin has a very long half-life, with some estimates suggesting that it can remain in the body for up to 70 years or more.

The aorta is the largest artery in the human body, which originates from the left ventricle of the heart and carries oxygenated blood to the rest of the body. It can be divided into several parts, including the ascending aorta, aortic arch, and descending aorta. The ascending aorta gives rise to the coronary arteries that supply blood to the heart muscle. The aortic arch gives rise to the brachiocephalic, left common carotid, and left subclavian arteries, which supply blood to the head, neck, and upper extremities. The descending aorta travels through the thorax and abdomen, giving rise to various intercostal, visceral, and renal arteries that supply blood to the chest wall, organs, and kidneys.

Aortic diseases refer to conditions that affect the aorta, which is the largest and main artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. Aortic diseases can weaken or damage the aorta, leading to various complications. Here are some common aortic diseases with their medical definitions:

1. Aortic aneurysm: A localized dilation or bulging of the aortic wall, which can occur in any part of the aorta but is most commonly found in the abdominal aorta (abdominal aortic aneurysm) or the thoracic aorta (thoracic aortic aneurysm). Aneurysms can increase the risk of rupture, leading to life-threatening bleeding.
2. Aortic dissection: A separation of the layers of the aortic wall due to a tear in the inner lining, allowing blood to flow between the layers and potentially cause the aorta to rupture. This is a medical emergency that requires immediate treatment.
3. Aortic stenosis: A narrowing of the aortic valve opening, which restricts blood flow from the heart to the aorta. This can lead to shortness of breath, chest pain, and other symptoms. Severe aortic stenosis may require surgical or transcatheter intervention to replace or repair the aortic valve.
4. Aortic regurgitation: Also known as aortic insufficiency, this condition occurs when the aortic valve does not close properly, allowing blood to leak back into the heart. This can lead to symptoms such as fatigue, shortness of breath, and palpitations. Treatment may include medication or surgical repair or replacement of the aortic valve.
5. Aortitis: Inflammation of the aorta, which can be caused by various conditions such as infections, autoimmune diseases, or vasculitides. Aortitis can lead to aneurysms, dissections, or stenosis and may require medical treatment with immunosuppressive drugs or surgical intervention.
6. Marfan syndrome: A genetic disorder that affects the connective tissue, including the aorta. People with Marfan syndrome are at risk of developing aortic aneurysms and dissections, and may require close monitoring and prophylactic surgery to prevent complications.

Down syndrome is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is characterized by intellectual and developmental disabilities, distinctive facial features, and sometimes physical growth delays and health problems. The condition affects approximately one in every 700 babies born in the United States.

Individuals with Down syndrome have varying degrees of cognitive impairment, ranging from mild to moderate or severe. They may also have delayed development, including late walking and talking, and may require additional support and education services throughout their lives.

People with Down syndrome are at increased risk for certain health conditions, such as congenital heart defects, respiratory infections, hearing loss, vision problems, gastrointestinal issues, and thyroid disorders. However, many individuals with Down syndrome live healthy and fulfilling lives with appropriate medical care and support.

The condition is named after John Langdon Down, an English physician who first described the syndrome in 1866.

Metabolic syndrome, also known as Syndrome X, is a cluster of conditions that increase the risk of heart disease, stroke, and diabetes. It is not a single disease but a group of risk factors that often co-occur. According to the American Heart Association and the National Heart, Lung, and Blood Institute, a person has metabolic syndrome if they have any three of the following five conditions:

1. Abdominal obesity (waist circumference of 40 inches or more in men, and 35 inches or more in women)
2. Triglyceride level of 150 milligrams per deciliter of blood (mg/dL) or greater
3. HDL cholesterol level of less than 40 mg/dL in men or less than 50 mg/dL in women
4. Systolic blood pressure of 130 millimeters of mercury (mmHg) or greater, or diastolic blood pressure of 85 mmHg or greater
5. Fasting glucose level of 100 mg/dL or greater

Metabolic syndrome is thought to be caused by a combination of genetic and lifestyle factors, such as physical inactivity and a diet high in refined carbohydrates and unhealthy fats. Treatment typically involves making lifestyle changes, such as eating a healthy diet, getting regular exercise, and losing weight if necessary. In some cases, medication may also be needed to manage individual components of the syndrome, such as high blood pressure or high cholesterol.

A mutation is a permanent change in the DNA sequence of an organism's genome. Mutations can occur spontaneously or be caused by environmental factors such as exposure to radiation, chemicals, or viruses. They may have various effects on the organism, ranging from benign to harmful, depending on where they occur and whether they alter the function of essential proteins. In some cases, mutations can increase an individual's susceptibility to certain diseases or disorders, while in others, they may confer a survival advantage. Mutations are the driving force behind evolution, as they introduce new genetic variability into populations, which can then be acted upon by natural selection.

Blood vessel prosthesis implantation is a surgical procedure in which an artificial blood vessel, also known as a vascular graft or prosthetic graft, is inserted into the body to replace a damaged or diseased native blood vessel. The prosthetic graft can be made from various materials such as Dacron (polyester), PTFE (polytetrafluoroethylene), or bovine/human tissue.

The implantation of a blood vessel prosthesis is typically performed to treat conditions that cause narrowing or blockage of the blood vessels, such as atherosclerosis, aneurysms, or traumatic injuries. The procedure may be used to bypass blocked arteries in the legs (peripheral artery disease), heart (coronary artery bypass surgery), or neck (carotid endarterectomy). It can also be used to replace damaged veins for hemodialysis access in patients with kidney failure.

The success of blood vessel prosthesis implantation depends on various factors, including the patient's overall health, the location and extent of the vascular disease, and the type of graft material used. Possible complications include infection, bleeding, graft thrombosis (clotting), and graft failure, which may require further surgical intervention or endovascular treatments.

Tricuspid valve prolapse is a cardiac condition where the tricuspid valve, located between the right atrium and right ventricle of the heart, doesn't close properly due to one or more of its leaflets (flaps) bulging or billowing into the right atrium during contraction of the right ventricle. This allows the backflow of blood from the right ventricle into the right atrium, known as tricuspid regurgitation. In some cases, tricuspid valve prolapse may not cause any symptoms and can be an incidental finding on echocardiography. However, if severe tricuspid regurgitation occurs, it can lead to right-sided heart failure, atrial arrhythmias, and other complications. The condition is often associated with mitral valve prolapse or other connective tissue disorders.

Aortic valve insufficiency, also known as aortic regurgitation or aortic incompetence, is a cardiac condition in which the aortic valve does not close properly during the contraction phase of the heart cycle. This allows blood to flow back into the left ventricle from the aorta, instead of being pumped out to the rest of the body. As a result, the left ventricle must work harder to maintain adequate cardiac output, which can lead to left ventricular enlargement and heart failure over time if left untreated.

The aortic valve is a trileaflet valve that lies between the left ventricle and the aorta. During systole (the contraction phase of the heart cycle), the aortic valve opens to allow blood to be pumped out of the left ventricle into the aorta and then distributed to the rest of the body. During diastole (the relaxation phase of the heart cycle), the aortic valve closes to prevent blood from flowing back into the left ventricle.

Aortic valve insufficiency can be caused by various conditions, including congenital heart defects, infective endocarditis, rheumatic heart disease, Marfan syndrome, and trauma. Symptoms of aortic valve insufficiency may include shortness of breath, fatigue, chest pain, palpitations, and edema (swelling). Diagnosis is typically made through physical examination, echocardiography, and other imaging studies. Treatment options depend on the severity of the condition and may include medication, surgery to repair or replace the aortic valve, or a combination of both.

The thoracic aorta is the segment of the largest artery in the human body (the aorta) that runs through the chest region (thorax). The thoracic aorta begins at the aortic arch, where it branches off from the ascending aorta, and extends down to the diaphragm, where it becomes the abdominal aorta.

The thoracic aorta is divided into three parts: the ascending aorta, the aortic arch, and the descending aorta. The ascending aorta rises from the left ventricle of the heart and is about 2 inches (5 centimeters) long. The aortic arch curves backward and to the left, giving rise to the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. The descending thoracic aorta runs downward through the chest, passing through the diaphragm to become the abdominal aorta.

The thoracic aorta supplies oxygenated blood to the upper body, including the head, neck, arms, and chest. It plays a critical role in maintaining blood flow and pressure throughout the body.

Wikimedia Commons has media related to Marfan syndrome. Marfan syndrome at Curlie Orphanets disease page on Marfan syndrome ( ... "What is Marfan Syndrome?". Marfan Trust. Archived from the original on 2015-06-10. Retrieved 2015-06-01. "Marfan Syndrome: The ... Estimates indicate about 1 in 5,000 to 10,000 individuals have Marfan syndrome. Marfan syndrome is named after Antoine Marfan, ... did not have Marfan Syndrome) Ehlers-Danlos syndrome Kashin-Beck disease Loeys-Dietz syndrome Nail-Patella syndrome Mitral ...
Marfan syndrome is a disorder that affects the connective tissue in many parts of the body. Explore symptoms, inheritance, ... medlineplus.gov/genetics/condition/marfan-syndrome/ Marfan syndrome. ... Mizuguchi T, Matsumoto N. Recent progress in genetics of Marfan syndrome and Marfan-associated disorders. J Hum Genet. 2007;52( ... in people with Marfan syndrome. Dural ectasia can cause pain in the back, abdomen, legs, or head. Most individuals with Marfan ...
Longer arms in Marfan syndrome Enlarge image Close Longer arms in Marfan syndrome. Longer arms in Marfan syndrome. Marfan ... Finger length in Marfan syndrome Enlarge image Close Finger length in Marfan syndrome. Finger length in Marfan syndrome. People ... Foot pain and low back pain are common with Marfan syndrome.. Complications of pregnancy. Marfan syndrome can weaken the walls ... Marfan syndrome. Mayo Clinic; 2020.. *Your teen and Marfan or a related disorder. The Marfan Foundation. https://www.marfan.org ...
Marfan syndrome (MFS) is an inherited connective tissue disorder, noteworthy for its worldwide distribution, relatively high ... encoded search term (Genetics of Marfan Syndrome) and Genetics of Marfan Syndrome What to Read Next on Medscape ... Callewaert B, Malfait F, Loeys B, De Paepe A. Ehlers-Danlos syndromes and Marfan syndrome. Best Pract Res Clin Rheumatol. 2008 ... Prevalence of Functional GI Diseases and Pelvic Floor Symptoms in Marfan Syndrome and Ehlers-Danlos Syndrome: A National Cohort ...
He suffers from a severe form of Scoliosis, a progressive spinal deformity that requires immediate surgery, and Marfan Syndrome ...
Learn how combining a medical ID for Marfan syndrome with MedicAlert membership provides 24/7 protection in an emergency. ... Treatments for Marfan syndrome may include:. Medications. People with Marfan syndrome are often prescribed a type of medication ... The damage caused by Marfan syndrome can range from mild to severe. With Marfan syndrome, the walls of the aorta can weaken and ... your Marfan syndrome bracelet will speak for you - informing others about your Marfan syndrome and any medications youre ...
New NEI-supported research provides insight into the eye conditions associated with Marfan syndrome, where weakened zonule ... For information about Marfan syndrome, visit the National Institute of Arthritis and Musculoskeletal and Skin Diseases. ... Louis, and his team explored a key structural component of zonules called fibrillin-1. Marfan syndrome has been linked to more ... "These mice provide a useful model for testing new therapies for Marfan syndrome," said Bassnett. His teams work shows that the ...
Correspondence to Professor Guillaume Jondeau, Centre National de Référence pour le syndrome de Marfan et apparentés, Hôpital ...
Was your child diagnosed with Marfans Syndrome? Learn more about their condition including DOs and DONTs for how to manage ... What Are the Symptoms of Marfans Syndrome?. No major symptoms are usually seen with Marfans syndrome, so it can be hard to ... What Is Marfans Syndrome?. Marfans syndrome is an inherited disorder involving the bodys connective tissues. Connective ... How Is Marfans Syndrome Diagnosed?. The health care provider may suspect that the syndrome is present from the family history ...
Your Genes, Your Health, DNA Learning Centers multimedia guide to genetic, inherited disorders: Marfan syndrome, autosomal dominant, genetic disorder
In addition she had Marfans syndrome due to a new mutation and transmitted Marfans syndrome to one of her daughters who did ... Apparently the association of Marfans syndrome with polysyndactyly has not been previously described. ...
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Centers RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.. ...
Les Os Et Les Articulations Et Syndrome De Marfan. Le syndrome de Marfan est souvent à lorigine de problèmes au niveau des os ... Tags: Loeys-Dietz Syndrome, Marfan Syndrome, VEDS , Caregivers, Healthcare Professionals, Patients & Families ... People with Marfan syndrome are at up to 250 times greater risk of aortic dissection (a tear or rupture between layers of the ... Ce sont en réalité souvent ces caractéristiques qui amènent en premier une personne à soupçonner un syndrome de Marfan et à ...
Marfan Syndrome and Ectopia Lentis. Efforts to improve visual outcomes after lens surgery in this patient population.. ... Surgical Outcomes of Modified Capsular Tension Ring and Intraocular Lens Implantation in Marfan Syndrome With Ectopia Lentis ... The procedure holds promise for improving the vision of patients with Marfan syndrome, but realistic expectations must be set ... This consecutive retrospective case series sought to predict axial length (AL) growth in patients with Marfan syndrome (MFS) ...
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Marfan syndrome Articles Case Reports Symptoms Treatment, Mexico. ...
Marfans syndrome is a rare hereditary disorder that causes connective tissue to be weaker than normal. Affected individuals ... Marfans Syndrome. Also known as arachnodactyly, Marfans syndrome is a rare hereditary disorder that causes connective tissue ... Because the Marfan syndrome appears in many forms, recommendations about exercise vary widely. People with dilation of the ... Many people with the Marfan syndrome can participate in modified physical and recreational activities without being overly ...
Marfan syndrome. Marfan syndrome is a genetic disorder that affects the bodys connective tissue. Connective tissue holds all ... Marfan syndrome. Marfan syndrome is a genetic disorder that affects the bodys connective tissue. Connective tissue holds all ...
Marfan Syndrome (Musculoskeletal Abnormalities). This man who has Marfan syndrome is unusually tall. His arm span exceeds his ...
Pregnancy in patients with Marfans syndrome (MFS) carries an increased risk of cardiovascular complications, resulting in ...
Aortic dissection, Marfan syndrome, Neurovascular accident, Pregnancy Persistent URL doi.org/10.1016/S0301-2115(01)00314-1, hdl ... The Marfan syndrome and pregnancy: A retrospective study in a Dutch population. Publication. Publication. European Journal of ... Objective: To assess the course and outcome of pregnancies in women with the Marfan syndrome with the aim of developing ... progression of dilatation and decreased cardiac function are risk factors in pregnancy for women with the Marfan syndrome. A ...
Marfan Syndrome, Q and A fruit and vegetables! ... below for related topics or Click here to go to Marfan Syndrome ... See below for related topics or Click here to go to Marfan Syndrome, Q and A page Click here for the ehso.com home page ...
A microfibril assembly assay identifies different mechanisms of dominance underlying Marfan syndrome, stiff skin syndrome and ... A microfibril assembly assay identifies different mechanisms of dominance underlying Marfan syndrome, stiff skin syndrome and ... Marfan syndrome, Ehlers-Danlos syndrome, hereditary hemorrhagic telangiectasia) Journal of Maternal-Fetal and Neonatal Medicine ... Marfan syndrome, Ehlers-Danlos syndrome, hereditary hemorrhagic telangiectasia) Journal of Maternal-Fetal and Neonatal Medicine ...
... Author(s): ... INTRODUCTION AND OBJECTIVES: Marfan syndrome is an inherited disease of the connective tissue. Recent trials have indicated the ... A total of 150 subjects diagnosed with Marfan syndrome, aged between 5 and 60 years, of both sexes, and who meet the Ghent ... Affiliation(s): Unidad de Marfan, Hospital Universitario 12 de Octubre, Madrid, Espana.. Publication date & source: 2011-06, ...
Marfans syndrome, ectopia lentis, rhegmatogenous retinal detachment, vitrectomy, silicone oil Abstract. Background: Marfans ... Marfans syndrome with rhegmatogenous retinal detachment: a case report and literature review Authors. * Kumudini Subedi ... Conclusion: Although serious and vision threatening manifestations may occur in the eye in cases of Marfans syndrome, early ... Although genetic testing was not possible, all features were suggestive of Marfans syndrome according to revised Ghent ...
The aim of the current study was to elucidate their functional role using a mouse model for Marfan syndrome, defective in ... The structural role of elastic fibres in the cornea investigated using a mouse model for Marfan syndrome. Investigative ... The structural role of elastic fibres in the cornea investigated using a mouse model for Marfan syndrome ...
Medical management of Marfan syndrome.. Martin G Keane, Reed E Pyeritz. Circulation 2008 May 28 ...
Patients diagnosed with Marfan syndrome were divided into 3 groups: those scheduled for prophylactic surgery, those needing ... A significant difference was found in trait anxiety between healthy individuals and patients with Marfan syndrome after acute ... As a result, life-saving and preventative cardiac surgical interventions are frequent among Marfan syndrome patients. Aortic ... We hypothesized that patients with Marfan syndrome have different level of anxiety, depression and satisfaction with life ...
Axial BMD is lower than normal in Marfan adults. This reduction may contribute to fractures seen in the Marfan population. ... has been reported in pre-menopausal women and children with Marfan syndrome (MFS). The bone mineral status of adult men with ... OBJECTIVES: Reduced bone mineral density (BMD) has been reported in pre-menopausal women and children with Marfan syndrome (MFS ... Absorptiometry, Photon, Adult, Aged, Bone Density, Female, Femur Neck, Hip, Humans, Lumbar Vertebrae, Male, Marfan Syndrome, ...

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