{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:37:18Z","timestamp":1747190238719,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T00:00:00Z","timestamp":1582588800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"HCA Healthcare-Affiliated Entity"},{"name":"HCA Healthcare"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2020,2,25]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Marfan syndrome (MFS) is a rare connective tissue disorder attributed to a defect in the fibrillin-1 gene. Aortic aneurysms and dissection are common causes of morbidity and mortality in Marfan syndrome. <jats:italic>Case Report<\/jats:italic>. A 43-year-old female with a history of MFS and a 4.0\u2009cm dilated ascending aorta presented to her cardiologist reporting that since a C-section two years prior, the left side of her abdomen painlessly protruded when standing. An outpatient CT scan of the abdomen\/pelvis noted a 5.5\u2009cm abdominal aortic dissection, and she was directed to the hospital. Repeat CT scan of the abdomen\/pelvis revealed a 5.6\u2009cm dissecting aneurysm of the infrarenal abdominal aorta. The patient was admitted to the ICU and started on a nitroglycerin drip to maintain systolic blood pressure less than 110\u2009mmHg. The patient underwent repair of her abdominal aortic dissection via a retroperitoneal approach, and she tolerated the procedure well. She was started on metoprolol tartrate 12.5\u2009mg BID and aspirin 81\u2009mg postoperatively. She was safely discharged with follow-up care. <jats:italic>Conclusion<\/jats:italic>. This case stresses the importance of having a low threshold to obtain imaging in a MFS patient with protruding abdomen, even though the patient may not have pain and be hemodynamically stable.<\/jats:p>","DOI":"10.1155\/2020\/1704150","type":"journal-article","created":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T18:30:50Z","timestamp":1582655450000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8781-3204","authenticated-orcid":true,"given":"Hussein","family":"Al-Mohamad","sequence":"first","affiliation":[{"name":"Department of Cardiology, Largo Medical Center, Largo, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2004-8015","authenticated-orcid":true,"given":"Kara","family":"Stout","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Largo Medical Center, Largo, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taryn","family":"Bolling","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Largo Medical Center, Largo, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5285-7837","authenticated-orcid":true,"given":"Ronald","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Largo Medical Center, Largo, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00430-0"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1177\/153857440103500118"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/humu.22977"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.007"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.2009.072785"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000155243.70456.F4"},{"volume":"132","journal-title":"Circulation","year":"2015","key":"7"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.63.742.685"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-76382011000100019"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)79822-6"},{"year":"2019","key":"11"},{"year":"2010","key":"12"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2017.10.07"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.10.099"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2010.09.011"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.044"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1007\/s00772-016-0221-z"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/1704150.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/1704150.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/1704150.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T18:30:54Z","timestamp":1582655454000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2020\/1704150\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,25]]},"references-count":18,"alternative-id":["1704150","1704150"],"URL":"https:\/\/doi.org\/10.1155\/2020\/1704150","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"type":"print","value":"2090-6404"},{"type":"electronic","value":"2090-6412"}],"subject":[],"published":{"date-parts":[[2020,2,25]]}}}