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Bilateral Extracranial Carotid Artery Aneurysms: A Rare Complication Of Marfan Syndrome, Lee Mendenhall, Karl G. Shaver, Lynne J. Goebel

Marshall Journal of Medicine

Marfan Syndrome (MFS) is an autosomal dominant connective tissue disorder caused by a mutation in the FBN1 gene that encodes for the extracellular matrix protein fibrillin-1. The clinical manifestations of MFS which lead to morbidity and mortality are primarily those involving aortic disease, such as aneurysmal dilation, aortic regurgitation, and aortic dissection. Despite 60-80% of adults with MFS having some degree of aortic disease, carotid artery aneurysms are rare and usually represent extensions of aortic dissections.¹ We report a 70-year-old female with a history of ectopia lentis and family history of MFS who presented to the ED with epistaxis …