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Cardiovascular Manifestation of a Family with Marfan's Syndrome
Mohammad Hossein Davari1, Toba Kazemi, Hossein Alimirzaei
1Birjand Cardiovascular Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Abstract:
Marfan's syndrome (MFS) is a genetic disorder associated with autosomal dominant inheritance. In MFS, the most prevalent cause of death is cardiovascular involvement. Here we introduce a family with a severe penetration of MFS. Eleven members of this family have MFS (father, two daughters, three sons, and five grandchildren). The most common cardiac involvement in our patients was mitral valve prolapse as manifested by mitral regurgitation. At ten years' follow-up, two patients had aortic root dilatation running the risk of aortic dissection; they were, therefore, scheduled for cardiac surgery, during which the Bental procedure was successfully performed. Fortunately, all of the members of this family are currently alive.
Insights
Marfan syndrome (MFS), a genetic disorder, often leads to fatal cardiovascular issues. This study highlights a family with severe MFS, where early intervention prevented aortic dissection in high-risk patients.
Area of Science:
- Genetics
- Cardiology
- Medical Genetics
Background:
- Marfan syndrome (MFS) is an autosomal dominant genetic disorder.
- Cardiovascular complications are the leading cause of mortality in MFS patients.
- Understanding MFS inheritance patterns and clinical manifestations is crucial for patient management.
Observation:
- A family with a severe presentation of Marfan syndrome (MFS) was studied.
- Eleven family members across three generations were diagnosed with MFS.
- The most frequent cardiac manifestation observed was mitral valve prolapse with mitral regurgitation.
Findings:
- Two patients exhibited aortic root dilatation, posing a risk for aortic dissection.
- These high-risk patients underwent successful cardiac surgery, including the Bentall procedure.
- A ten-year follow-up confirmed the survival of all affected family members.
Implications:
- Early detection and surgical intervention can effectively manage severe cardiovascular risks in MFS.
- This case underscores the importance of genetic counseling and proactive cardiac monitoring in affected families.
- The successful surgical outcomes demonstrate the efficacy of current treatment strategies for MFS-related aortic complications.
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