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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Pressure In Chest. Have Marfans. What Can It Be?

I have marfans, and just this morning I woke up with pain in the middle of my chest just above sternum. Its not constant, it arrives every 5 mins or so. The pain feels like theres an air bubble rising in my chest causing pressure. I have never felt this sensation in my chest before. I had my last MRI about a year ago, my aorta has been constant at 4.7 cm since the age of 16 (i am now 21). What can it be?
Wed, 3 Oct 2012
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Pulmonologist,  's  Response
Hi
Thanks for your query
As you are a patient of Marfan syndrome and this is your symptoms we the doctors should have to exclude aortic aneurysm first. So please have an repeat MRI to assess your aorta recently. Because in this clinical context aortic aneurysm is the strongest option we had to explain your symptoms. Along with this a need to have an ECG in order to exclude any rhythm abnormality of your heart and an Echocardiography to exclude valvular heart disease specially to exclude aortic regurgitation. Also fix an appointment with cardiologist and get yourself locally examined. I think by all these you can have a diagnosis.
Thank you.
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Chest Pain, Pressure In Chest. Have Marfans. What Can It Be?

Hi Thanks for your query As you are a patient of Marfan syndrome and this is your symptoms we the doctors should have to exclude aortic aneurysm first. So please have an repeat MRI to assess your aorta recently. Because in this clinical context aortic aneurysm is the strongest option we had to explain your symptoms. Along with this a need to have an ECG in order to exclude any rhythm abnormality of your heart and an Echocardiography to exclude valvular heart disease specially to exclude aortic regurgitation. Also fix an appointment with cardiologist and get yourself locally examined. I think by all these you can have a diagnosis. Thank you.