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Myopia in the Diagnosis of Marfan Syndrome: An Important Early Sign of a Systemic Condition
Bhavini B Prajapati1, Jennifer Monti2
1Internal Medicine - Pediatrics, Maine Medical Center, Portland, USA.
Abstract:
Marfan syndrome is a genetic connective tissue disorder that is a frequent cause of aortic dissection in younger patients. We report a case of a patient with a history of ectopia lentis in his third decade and abdominal striae since adolescence, who presented with Stanford type A dissection at age 48.
Insights
Marfan syndrome, a genetic disorder, can lead to aortic dissection. This case highlights a 48-year-old patient with Marfan syndrome presenting with a Stanford type A dissection.
Area of Science:
- Cardiology
- Genetics
- Connective Tissue Diseases
Background:
- Marfan syndrome is an inherited disorder affecting connective tissue.
- It is a known risk factor for aortic dissection, particularly in younger individuals.
Observation:
- A 48-year-old male presented with Stanford type A aortic dissection.
- He had a history of ectopia lentis (lens dislocation) diagnosed in his thirties.
- Abdominal striae were noted since adolescence.
Findings:
- The patient's clinical presentation and history are consistent with Marfan syndrome.
- The case illustrates a later-onset presentation of aortic dissection in a Marfan syndrome patient.
Implications:
- This case underscores the importance of recognizing Marfan syndrome in patients with aortic dissection, regardless of age.
- Early diagnosis and management of Marfan syndrome can help prevent life-threatening cardiovascular events like aortic dissection.
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