Marfan syndrome is a dominant autosomal genetic disease of the connective tissue, leading
to various complications. Cardiovascular complications are the main ones, with dilation of the
aorta and aortic dissection which is the main cause of death. Double dissection with diff erent
sites of departure is scarcely reported by the literature. We reported the case of a 22-year’sold
young patient admitted for acute chest and abdominal pains, and cardiogenic shock.
Investigations reported a double dissection of the aorta with a recent one of type A and an old one
of type B. Ghent diagnostic criteria were used to allow the diagnosis of Marfan disease. Surgical
management corrected successfully the type A dissection.

Early diagnostic and adequate management, aortic complications