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Table 1 Simplified revised Ghent criteria

From: Cardiovascular Magnetic Resonance in Marfan syndrome

In the absence of a family history:

Diagnosis of MFS

In the presence of a family history:

Diagnosis of MFS

Aorta (Z ≥ 2 or dissection) and ectopia lentis

Yes

Ectopia lentis

Yes

Aorta (Z ≥ 2 or dissection) and a causal FBN1 mutation

Yes

Systemic score ≥ 7

Yes

Aorta (Z ≥ 2 or dissection) and systemic features (≥7)

Yes

Aorta (Z ≥ 2 above 20 yr old, Z ≥ 3 below 20 yr, or dissection)

Yes

Ectopia lentis and a causal FBN1 mutation and aortic aneurysm

Yes

 

Yes

  1. Z-score is derived from a measurement of the sinus of Valsalva indexed to body surface area.
  2. Caveat: other conditions such as Loeys-Dietz syndrome must be excluded.