Aortic Dissection in a 5-Year-Old Girl With Marfan's Syndrome

Ruiz, Mario E.; Sty, John R.; Wells, Robert G.

doi:10.1001/archpedi.1996.02170290106020

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Only two cases occurring in the Marfan population were described during the last 10 years [33,34] . Dissection has, however, been reported in normal infants following infection [35] , and as a consequence of surgical trauma [36] .…”

Section: Aortic Disease In Infancy and Childhoodmentioning

confidence: 99%

Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology

Erbel

Alfonso²,

Boileau³

et al. 2001

European Heart Journal

1,083

336

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Section: Aortic Disease In Infancy and Childhoodmentioning

confidence: 99%

Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology

Erbel

Alfonso²,

Boileau³

et al. 2001

European Heart Journal

1,083

336

View full text Add to dashboard Cite

“…Similarly, Wozniak-Mielczarek et al, in a study involving 101 pediatric and adult patients with Marfan syndrome, found that 8 patients (7.92%) experienced aortic dissection, with 2 pediatric patients aged 16 and 17 years, respectively [ 101 ]. On the other hand, aortic dissection in children with Marfan syndrome is sparse [ 103 , 104 , 105 ].…”

Section: Common Examinations Performed For Pediatric Chest Pain In Th...mentioning

confidence: 99%

“…Hence, it is reasonable that adolescents with Marfan syndrome are more prone to aortic dissection compared with children. Although aortic dissection is rare in children and adolescents [ 97 , 99 , 100 , 101 , 103 , 104 , 105 ], individuals with Marfan syndrome inherently carry a risk of aortic root dilatation, predisposing them to aortic dissection. Therefore, considering aortic dissection in the differential diagnosis and conducting further investigations in adolescents with Marfan syndrome suffering from acute chest pain is reasonable.…”

Section: Common Examinations Performed For Pediatric Chest Pain In Th...mentioning

confidence: 99%

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Huang,

Liu

2024

Diagnostics

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Pediatric chest pain is a common chief complaint in the emergency department. Not surprisingly, children with chest pain are usually brought to the emergency department by their parents out of fear of heart disease. However, chest pain in the pediatric population is generally a benign disease. In this review, we have identified musculoskeletal pain as the most prevalent etiology of chest pain in the pediatric population, accounting for 38.7–86.3% of cases, followed by pulmonary (1.8–12.8%), gastrointestinal (0.3–9.3%), psychogenic (5.1–83.6%), and cardiac chest pain (0.3–8.0%). Various diagnostic procedures are commonly used in the emergency department for cardiac chest pain, including electrocardiogram (ECG), chest radiography, cardiac troponin examination, and echocardiography. However, these examinations demonstrate limited sensitivity in identifying cardiac etiologies, with sensitivities ranging from 0 to 17.8% for ECG and 11.0 to 17.2% for chest radiography. To avoid the overuse of these diagnostic tools, a well-designed standardized algorithm for pediatric chest pain could decrease unnecessary examination without missing severe diseases.

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