title: [Neonatal heart failure and Marfan syndrome].
abstract: We report the case of a neonate admitted to the hospital in the 4th day of life in severe heart failure due to aortic and mitral regurgitation with a largely dilated aortic root. The associated skeletal features involving the superior and inferior limbs as well as the thorax, and joint hypermobility, allowed the clinical diagnosis of Marfan syndrome. Despite favorable initial response to medical therapy, sudden deterioration led to death two weeks after birth. Typical necroscopic findings were confirmed and the case is considered the most severe clinical manifestation possible to be found in this syndrome.
authors.affiliation: Hospital do Coração de Ribeirão Preto/Fundação Waldemar B. Pessoa e Faculdade de Medicina de Ribeirão Preto-USP.
authors.forename: F T
authors.initials: FT
authors.lastname: Amaral
authors.forename: S R
authors.initials: SR
authors.lastname: Carvalho
authors.forename: J A
authors.initials: JA
authors.lastname: Granzotti
authors.forename: L H
authors.initials: LH
authors.lastname: Vieira
authors.forename: J M
authors.initials: JM
authors.lastname: Pina Neto
authors.forename: M A
authors.initials: MA
authors.lastname: Nunes
mesh_terms: D017809:Fatal Outcome; D006333:Heart Failure / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*
vernacular_title: Insuficiência cardíaca neonatal e síndrome de Marfan.