Obtain an echocardiogram. Anticipatory Guidance 1. Discuss the nature of the disease with the patient, and review concerns and issues related to the impact of the disease throughout adolescence. Preimplantation diagnosis can also be done. These do not obviate the risk of pregnancy to the health of the affected woman.
Adoption is another alternative.
Review psychosocial, sexual, and lifestyle concerns, such as limitations of some physical activities, occupation, and genetic risks. Refer the patient for services for visual or physical disability if indicated. Discuss and encourage participation in peer group activities. Facilitate transition to adult medical care, if appropriate or desired. Francke U, Furthmayr H. Marfan s syndrome and other disorders of fibrillin.