People affected by the Marfan syndrome should be treated by a physician familiar with the condition and how it affects all body systems. There is no cure for the disorder yet,
however, in general, treatment includes the following:
Annual echocardiogram to monitor the size and function of the heart and aorta.
Initial eye examination with a slit-lamp to detect lens dislocation, with periodic follow-up with an ophthalmologist.
Careful monitoring of the skeletal system, especially during childhood and adolescence.
Beta-blocker medications may be prescribed to lower blood pressure and, consequently, reduce stress on the aorta.
Antibiotics may be prescribed prior to dental or genito-urinary procedures to reduce the risk of infection in people who experience mitral valve prolapse or who have artificial heart valves. People who have had aortic surgery must take blood thinning medication. They also need to take antibiotics by injection before dental work, and in other situations in which bacteria could enter the blood stream. (Guidelines for Endocarditis Prophylaxis for People with the Marfan Syndrome Who Have Had Cardiac Surgery, NMF Professional Advisory Board, June 1991).
Lifestyle adaptations, such as the avoidance of strenuous exercise and contact sports, are often necessary to reduce the risk of injury to the aorta.
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