Related Experiment Video
Updated: Sep 14, 2026

Murine Fetal Echocardiography
Published on: February 15, 2013
The clinical course and echocardiographic features of Marfan's syndrome in childhood
1Department of Pediatrics C, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Insights
Childhood Marfan
Area of Science:
- Cardiology
- Genetics
- Pediatrics
Background:
- Marfan's syndrome is a genetic disorder affecting connective tissue.
- Early diagnosis and understanding of cardiovascular manifestations are crucial in pediatric patients.
Purpose of the Study:
- To evaluate the clinical and echocardiographic features of Marfan's syndrome in infants and children.
- To identify risk factors for progressive cardiovascular involvement and mortality.
Main Methods:
- Retrospective analysis of 25 pediatric patients diagnosed with Marfan's syndrome.
- Clinical examination and echocardiography were used to assess cardiovascular status.
- Follow-up evaluation of disease progression and patient outcomes.
Main Results:
- All patients exhibited mitral valve prolapse; 80% had aortic root dilatation.
- Significant rates of mitral regurgitation (44%) and aortic regurgitation (28%) were observed.
- Progressive cardiovascular disease occurred in 22% of patients, with higher incidence in those diagnosed before age 10 and sporadic cases.
Conclusions:
- Cardiovascular involvement is a major cause of morbidity and mortality in childhood Marfan's syndrome.
- Early diagnosis (before age 10) and sporadic cases indicate a higher-risk group requiring close monitoring.
Abstract:
The clinical and echocardiographic manifestations in 25 patients with Marfan's syndrome diagnosed during infancy and childhood (mean [+/- SD] age, 8.1 +/- 4.8 years; range 0 to 16 years) were evaluated. Twenty-one patients (84%) had a midsystolic click, 11 patients (44%) had mitral regurgitation (MR), and five patients (20%) had combined MR and aortic regurgitation (AR). Echocardiography demonstrated mitral valve prolapse in all 25 patients, aortic root dilatation in 20 patients (80%), AR in seven patients (28%), and aortic aneurysm in five patients (20%). During the follow-up period (mean, 5 +/- 4.5 years), progressive AR and aortic aneurysm were documented in four patients, progressive MR in three patients, and progressive aortic root dilatation in two patients. Five patients (22%) died during the follow-up period. Among patients with a positive family history of Marfan's syndrome, MR was less frequent as compared with sporadic cases (29.4% vs 75%, respectively). Progressive cardiovascular involvement was more frequent among patients diagnosed before 10 years of age compared with those diagnosed later (60% vs 12.5%, respectively). Cardiovascular involvement was a common feature of childhood Marfan's syndrome, causing significant morbidity and mortality. Sporadic cases and children diagnosed before 10 years of age represented a particularly high-risk group.
Related Concept Videos
Mitral Valve Prolapse I: Introduction
Mitral Regurgitation II: Clinical Features and Diagnostic Tests
Mitral Stenosis II: Clinical features and Diagnostic Tests
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Aneurysm I: Introduction

