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I'm concerned that my son has Marfan's syndrome and aortic incompetence and may have to wait for further evaluation.

My seventeen year old son has Marfan's syndrome.  Last week his doctor told him he has aortic incompetence, and he has referred him in to see a cardiologist. My concerns are that he could wait months before he is seen and is this too long to have to wait? 

submitted by Bernadette from Ireland on 5/17/2013


by Texas Heart Institute cardiovascular surgeon, Joseph S. Coselli, MD    

Joseph S. Coselli, MDRegarding your 17-year-old son with Marfan syndrome, it is difficult to provide a specific answer without knowing the degree of aortic valvular incompetence. By-and-large, provided the aorta is of reasonable size, i.e. 4.5 to 5cm or less, and that the aortic valvular incompetence or leakage is mild to moderate and not severe, waiting a few months in general is not a significant problem. However, as a rule, if your son's aortic valvular incompetence is severe or his aorta is more than 5cm in diameter at its aortic root, I would suggest that you pursue consultation in a shorter period of time than you indicate in your statement. Since I have considerable expertise in Marfan syndrome, if I can be of any further assistance, please don't hesitate to contact my office. 

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Updated June 2013
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