cases, heart Week 321: Case 1 April 26, 2023 pathadmin 1. Presented by Ralph Hruban, M.D. and prepared by Amy Duffield, M.D., Ph.D.This patient was found to have long fingers on physical examination. A screening cardiac exam was performed.Cystic medial degeneration diagnostic of Marfan syndromeAtherosclerosisSyphilitic aortitis 1. Presented by Ralph Hruban, M.D. and prepared by Amy Duffield, M.D., Ph.D.This patient was found to have long fingers on physical examination. A screening cardiac exam was performed.