13th March 2024

A 20-year-old male with recently diagnosed Marfan’s syndrome has an aortic diameter of 4cm on his first echocardiogram.

A 20-year-old male with recently diagnosed Marfan’s syndrome has an aortic diameter of 4cm on his first echocardiogram. His past medical history includes generalised anxiety disorder and asthma, for which he required an ITU admission for respiratory support following an exacerbation last year. There is no family history of Marfan’s syndrome or cardiovascular disease. He has no chest pain and is haemodynamically stable with a blood pressure of 148/76 mmHg and heart rate of 98 beats per minute. What first-line management would you advise for this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.