You manage a 28 years old female patient with Marfan syndrome. Her blood
pressure is normal (below 130/80 mmHg), she is in sinus rhythm with HR around
65 bpm. On TTE her ascending aorta is dilated up to 46 mm with only mild aortic
regurgitation. Patient has desire for pregnancy. What are your suggestions for
further management of this young lady?

Question

Answer

To schedule for computed tomography aortography
and in case of aortic dilatation ≥45 mm suggest surgical treatment before
pregnancy

Answer

To reassure her and schedule for follow-up

Answer

To give beta-blocker and losartan only

Answer

To schedule for computed tomography aortography

Answer

To schedule for computed tomography aortography
and in case of aortic dilatation  ≥45
mm  suggest surgical treatment after
pregnancy

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You manage a 28 years old female patient with Marfan syndrome. Her blood pressu...

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