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Woman’s Routine Scan Reveals Life-Saving Aortic Dissection Linked to Marfan Syndrome

During pregnancy, Ashley Veen’s routine imaging uncovered a rapidly enlarging aorta, leading to emergency surgery that saved her life.

Ashley Veen, a 35-year-old cosmetologist from Watertown, South Dakota, learned she carried a mutation in the FBN1 gene, indicating Marfan syndrome, after experiencing shortness of breath while pregnant. Throughout her pregnancy she underwent frequent echocardiograms and ultrasounds, with her aortic root expanding from 4 cm to 4.3 cm. She delayed a scheduled scan in August, but when it finally took place her aorta had reached 5 cm, leading doctors to order a CT scan and then call her to the emergency department for an aortic dissection.

The next day she underwent a Bentall procedure, receiving a mechanical valve and a graft-repaired ascending aorta. Post-operative recovery was difficult, including a brief ICU stay, but she survived and now faces lifelong monitoring of her aorta.

Why it matters

The case shows how regular monitoring can catch silent aortic tears before they become fatal.

In this story

aortic dissectionMarfan syndromegenetic testingpregnancyBentall procedureroutine scanmonitoringheart surgery
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