The Curated Treatment of a Young Woman With Marfan Syndrome: Elective Open Ascending Repair to Emergent Thoracoabdominal Endovascular Repair

This case serves as an example that an endovascular repair may play a role in the emergent treatment of complex anatomies in patients with Marfan syndrome especially when refusing open surgery. This repair has to date shown mid-term success with near-complete aneurysm sac regression and no endoleak, but to achieve this the patient has required strict surveillance and 2 reinterventions in the first year following the index case. Ultimately, this represents one of the first ruptured TAAA in a Marfan patient treated with a F/BEVAR.Clinical ImpactPatients with genetic aortopathies are at risk for aneurysmal degeneration and disease progression. It is important to manage patients with genetic aortopathies expeditiously and in emergency settings a total endovascular approach can be used. Each case requires a multidisciplinary approach and thoughtful planning.