Snapshot A 30-year-old man with a marfanoid habitus presents for genetic counseling. His father, paternal uncle, and paternal great-grandfather died of sudden cardiac deaths. His father, specifically, suffered from an aortic dissection. As part of this patient's work-up, he recently had cardiac imaging, which reveals a 5 cm aortic aneurysm. He is sent for further surgical consultation and is tested for suspected Marfan syndrome. Overview Introduction Clinical definition login to view 1 more bullet Epidemiology login to view 2 more bullets Pathogenesis login to view 5 more bullets Genetics login to view 5 more bullets Prognosis login to view 2 more bullets Presentation Physical exam login to view 19 more bullets Imaging Transthoracic echocardiography login to view 5 more bullets Studies Making the diagnosis login to view 2 more bullets Differential Ehlers-Danlos syndrome login to view 3 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 3 more bullets Medical login to view 3 more bullets Operative login to view 3 more bullets Complications Aortic dissection login to view 1 more bullet Congestive heart failure from cardiac valve abnormalities