European Journal of Echocardiography Advance Access originally published online on December 23, 2008
European Journal of Echocardiography 2009 10(2):213-215; doi:10.1093/ejechocard/jen311
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.
The expanding cardiovascular phenotype of Marfan syndrome
1 Department of Medical Genetics, Ghent University Hospital, De Pintelaan 185, Gent 9000, Belgium
2 Department of Cardiovascular Medicine, Ghent University Hospital, De Pintelaan 185, Gent 9000, Belgium
Corresponding author. Tel: +32 9 332 3476; fax: +32 9 332 3462. E-mail address: julie.debacker@UGent.be
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In this issue of the journal, Kiotsekoglou et al. report on right ventricular systolic dysfunction in patients with Marfan syndrome (MFS). Over the past years, several studies have demonstrated mild, though significant, left ventricular systolic and diastolic dysfunction in patients with MFS.1–5 This is the first study indicating impaired right ventricular function.
Marfan syndrome is an autosomal dominant connective-tissue disorder caused by mutations in the fibrillin-1 gene (FBN1). Cardiovascular manifestations are mainly characterized by progressive dilatation of the aortic root, leading to aneurysm formation which may—when left untreated—lead to aortic dissection or rupture. Other established cardiovascular manifestations include mitral valve prolapse, dilatation of