Abstract

Marfan syndrome is an inheritable connective tissue disorder with protean clinical manifestations involving the ocular, skeletal and cardiovascular system. It is well estabalished that the major cause of morbidity in Marfan syndrome is the dilation of the aortic root as well as the associated aortic regurgitation and dissection. Aortic dissection usually begins just above the coronary ostia in the ascending aorta and extends the entire length of aorta. We report a rare case of Marfan syndrome with aortic dissection which begins distal to the left subclavian artery in the descending aorta.

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