Marfan syndrome with aortic dissection and background severe pectus excavatum

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Patient with known Marfan syndrome, presenting with acute chest pain.

Patient Data

Age: 25 years
Gender: Male
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Severe asymmetrical pectus excavatum that causes chest deformity.

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Severe asymmetrical pectus excavatum that causes chest deformity.

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Intra aortic flap is seen in both the thoracic and abdominal aorta.

There is also severe asymmetrical pectus excavatum that causes chest deformity.

Case Discussion

The findings are consistent with aortic dissection at both the thoracic and abdominal aorta in a patient with Marfan syndrome and severe pectus excavatum.

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