2004
DOI: 10.4314/wajm.v22i1.27990
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Marfan's syndrome presenting with abdominal aortic aneurysm: A case for vigilance

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Cited by 3 publications
(3 citation statements)
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“…In our experience, symptomatic aortic aneurysms are generally uncommon in our practice with occasional cases reported in the literature. [10][11][12] Our three cases seen in indigenous African Blacks within a period of four years suggest that AAA may be more common than hitherto perceived. The three patients were sixty years and below and had hypertensive disease while one was both hypertensive and diabetic.…”
Section: Discussionmentioning
confidence: 94%
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“…In our experience, symptomatic aortic aneurysms are generally uncommon in our practice with occasional cases reported in the literature. [10][11][12] Our three cases seen in indigenous African Blacks within a period of four years suggest that AAA may be more common than hitherto perceived. The three patients were sixty years and below and had hypertensive disease while one was both hypertensive and diabetic.…”
Section: Discussionmentioning
confidence: 94%
“…Diligent scanning techniques involving multiple positions and numerous transducer angulations is necessary for adequate visualization of the renal artery origins (Cases I and II). [12] Where the involvement of these branched vessels origins cannot be excluded and aortography cannot also be performed, involvement of renal artery origins can then be assumed when it is not possible to palpate the upper limit of the aneurysm below the xiphisternum with the patient lying flat (only 5% of cases). [2] Employing this logical principle, we could exclude renal artery origins in case III.…”
Section: Discussionmentioning
confidence: 99%
“…The variability of cardiovascular involvement is also illustrated by family 1 in which the apparent early onset familial AAA was the reason for referral. AAA have been reported as a feature in MFS, and in rare cases even as the presenting feature (Ooijen, ; Takayama, Miyata, & Nagawa, ; Ugwu et al, ; Wolfgarten et al, ). Family 2 in this report underlines the importance of DNA testing in individuals with a family history of young patients with AAA and the importance of regular imaging of the abdominal aorta in individuals with Marfan syndrome.…”
Section: Discussionmentioning
confidence: 99%