Asfaw I, Tintinalli JE: Marfan's syndrome. Ann Emerg Med 9:105-107, February 1 980. Marfan's syndrome; syndrome, Marfan's; aortic insufficiency, Marfan's syndro me I NTRODUCTION Judith Tintinalli, MD: The case for discussion today is that of a young woman with Marfan's syndrome and chest pain. The guest speaker is Ingida Asfaw, MD, associate professor of cardiothoracic surgery at Wayne State University. CASE REPORT James Bavinger, MD: This 20-year-old woman had been diagnosed to have Marfan's syndrome at the Mayo Clinic the previous day. She had returned to Michigan from Minnesota the night before admission, and while eating breakfast, she developed crushing substernal and back pain. She was immediately