Aortic & peripheral vascular disease

Simple Renal Cysts in Marfan Syndrome: Prevalence and Association With Aortic Events

JACC AdvPublished Consecutive patients matched 1:1 for age and sex with controls

Authors' conclusion

The prevalence of SRCs was significantly higher in patients with MFS compared to matched controls. SRCs were independently associated with aortic dissection in MFS. Prospective studies are needed to further evaluate whether SRCs could represent a marker of aortic disease severity in patients with MFS.

Study context

Population
Patients with marfan syndrome (MFS) ascertained by a pathogenic variant in the fibrillin-1 gene who underwent complete computed tomography scans, and matched controls131 patients with MFS and 131 controls, 2010–2016 · patients with MFS 131 · controls 131
Participants
131 vs 131
Comparison
SRC prevalence in patients with MFS, compared to matched controls; association between simple renal cysts (SRCs) and aortic events in patients with MFS
  • patients with MFSn = 131
  • controlsn = 131

Main finding

As reported in the abstract

SRC prevalence

P < 0.0001

Further findings

SRC prevalence by aortic disease severity

Patients with dissection
59%
Patients with aortic aneurysm surgery
43%
Patients with MFS but without aortic events
19%
Controls
21%
  • P < 0.009

Association of SRC presence with aortic dissection in patients with MFS (multivariable analysis)

Adjusted OR
2.30 [95% CI: 1.00-5.32]; P = 0.049
  • Independently associated

Baseline characteristics

Mean age
40 ± 14 years
Women
42%

Original publication

Simple Renal Cysts in Marfan Syndrome: Prevalence and Association With Aortic Events. JACC Adv. Published 17 June 2025. doi:10.1016/j.jacadv.2025.101870

Summarised from the published abstract; every number is checked against it

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