Marfan Syndrome and Aortopathy Clinic

The Marfan Syndrome and Aortopathy Clinic, founded in 1992, is one of the largest clinics in the United States dedicated to the care of adults with heritable thoracic aortic diseases (HTAD) and aortopathies, including Marfan syndrome, Loeys-Dietz syndrome, vascular Ehlers-Danlos syndrome, nonsyndromic HTADs, bicuspid aortic valve with aneurysm, Turner syndrome, aortic dissection, unexplained thoracic aortic aneurysm, and other arteriopathies. This clinic is recognized as a Center of Excellence and provides multidisciplinary care including cardiology and access to medical genetics, cardiothoracic surgery, vascular surgery, ophthalmology, orthopedic surgery, and maternal-fetal medicine/high-risk obstetrics.

Our cardiothoracic surgeons specialize in complex aortic surgery including valve-sparing root replacement, composite valve-graft surgery, repair of thoracic aortic aneurysms and dissections and mitral valve procedures.

The Marfan Syndrome and Aortopathy Clinic provides comprehensive evaluation for initial consultation and continuity of care for long term management. Initial evaluation may include detailed cardiovascular and medical genetics assessment, echocardiogram, and ophthalmologic examination in a single visit, depending upon individual circumstances. Cardiovascular imaging may include echocardiography, computerized tomographic (CT) angiography or magnetic resonance angiography (MRA). Our center has close ties to the Marfan Syndrome Clinic at St. Louis Children’s Hospital and may provide continuity of care for patients as they transition to adult care.

The Marfan Syndrome and Aortopathy Clinic at Washington University School of Medicine and Barnes-Jewish Hospital has hosted the Annual Meeting of the National Marfan Foundation on two occasions and is actively involved in research involving heritable thoracic aortic diseases and is part of multiple clinical registries.

Director

Alan C. Braverman, MD

Clinical expertise

The Marfan Syndrome Clinic provides expertise in diagnosis and treatment of many genetically-triggered disorders associated with thoracic aortic aneurysm and dissection including:

  • Marfan syndrome
  • Loeys-Dietz syndrome
  • Bicuspid aortic valve and ascending aortic aneurysm/aortopathy
  • Familial thoracic aortic aneurysm and dissection syndrome
  • Nonsyndromic heritable thoracic aortic disease (familial thoracic aortic aneurysm and dissection syndrome)
  • Vascular Ehlers-Danlos syndrome
  • Turner syndrome with aortic aneurysm disease
  • Aortic dissection
  • Thoracic aortic aneurysm
  • Aortic disease in pregnancy and aortic dissection related to pregnancy
  • Unexplained arterial dissections and aneurysms

Marfan Syndrome Clinic and Aortopathy Clinic physicians/staff

  • Kevin Blinder, MD (Ophthalmology and the Retina Institute)
  • Munish Gupta, MD (Orthopedics spine specialist)
  • Dana Gima, RN (Nurse Coordinator)
  • Barb Stehman, RN (Nurse Coordinator)

Professional collaborations

The Marfan Syndrome and Aortopathy Clinic is actively involved in registries and clinical and translational research involving heritable thoracic aortic disease including:

  • The Pediatric Heart Network Trial of Atenolol versus Losartan in the Treatment of Marfan Syndrome
  • The National Marfan Foundation Registry of Valve-Sparing Aortic Root Replacement
  • The International Registry of Acute Aortic Dissection (IRAD)
  • The Montalcino Aortic Consortium (MAC)
  • Pregnancy and other reproductive outcomes in women with genetic predisposition for aortic dissection (PROWAG)
  • Collaborations with physicians at other institutions involving studies of Marfan syndrome, Loeys-Dietz syndrome, bicuspid aortic valve aortopathy and other heritable thoracic aortic disease and familial thoracic aortic aneurysm disease

Patient information

Learn more about Marfan Syndrome at the Heart & Vascular Center »

Make an appointment

Referring Physicians: 314-362-1291 ask for
Dana Gima, RN or Barbara Stehman, RN in the Marfan Syndrome and Aortopathy Clinic.
Patients: 314-362-1291 or 888-210-8375

Location

Washington University and Barnes Jewish Heart & Vascular Center
Center for Advanced Medicine
Washington University Medical Center
4921 Parkview Place, Suite 8A
St. Louis, MO 63110
Phone: 314-362-1291