Case Report: Effects of Sars-CoV-2 on Marfan syndrome with resulting acute aortic dissection

IF 1.1 Q3 NURSING Journal of Vascular Nursing Pub Date : 2022-12-01 DOI:10.1016/j.jvn.2022.09.002
Jennifer J. DeVries DNP, APRN, FNP-C , Holly A. Myers DNP, RN, CNE
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Abstract

Marfan syndrome is one of the most common inherited connective tissue disorders that affects the heart, eyes, blood vessels, and bones. It occurs in approximately 1-2 per 10,000 individuals annually. Many patients with Marfan syndrome eventually develop aortic wall abnormalities, often resulting in aortic dilatation, which increases the risk of acute aortic dissection. Recent studies involving SARS-CoV-2 propose that individuals with connective tissue disorders such as Marfan syndrome can have additional associated conditions that could impose a higher risk for morbidity and mortality from SARS-CoV-2. The purpose of this article is to discuss the interrelationship between Marfan Syndrome, Acute Type A Aortic Dissection in a patient with Sars-CoV-2 infection. Pertinent review of these conditions, diagnostic findings, treatment, and the patient's clinical course will be discussed. There is minimal research focused on the connection between this novel virus, Marfan Syndrome, and compounding risk for aortic dissection.

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病例报告:Sars-CoV-2对马凡氏综合征并发急性主动脉夹层的影响
马凡氏综合征是一种最常见的遗传性结缔组织疾病,可影响心脏、眼睛、血管和骨骼。每年大约每1万人中有1-2人患此病。许多马凡氏综合征患者最终发展为主动脉壁异常,往往导致主动脉扩张,这增加了急性主动脉夹层的风险。最近涉及SARS-CoV-2的研究表明,患有马凡氏综合征等结缔组织疾病的个体可能患有其他相关疾病,这些疾病可能会增加SARS-CoV-2发病和死亡的风险。本文旨在探讨马凡氏综合征与Sars-CoV-2感染患者急性A型主动脉夹层之间的相互关系。相关的审查这些条件,诊断结果,治疗和病人的临床过程将被讨论。很少有研究关注这种新型病毒马凡氏综合征与主动脉夹层复合风险之间的联系。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
33
期刊介绍: Journal of Vascular Nursing provides clinical information regarding aortic and peripheral aneurysms, upper and lower extremity arterial disease, acute and chronic venous disease, and more. Original, peer-reviewed articles present descriptions, etiologies, diagnostic procedures, medical and surgical treatment and nursing implications of vascular system disorders.
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Table of contents Six-month combined aerobic and resistance exercise program enhances 6-minute walk test and physical fitness in people with peripheral arterial disease: A pilot study Implementing primary care follow-up for high-risk vascular surgery patients Comparison of the effects of training in the standing and lying positions on the quality of life and clinical symptoms in women with mild varicose veins: A randomized controlled trial Does frailty affect barriers to physical activity in patients with symptomatic peripheral artery disease? A cross-sectional study
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