Connective Tissue Disorders Program

The Connective Tissue Disorder Program at Lurie Children’s provides comprehensive care and genetic counseling to patients — from infants to young adults — who have disorders of the connective tissue, such as Marfan syndrome. The program started in 1999 as the Marfan Syndrome Clinic and expanded in 2011 as more patients were identified with related connective tissue disorders.

There are more than 200 diseases that involve the connective tissue, which supports and holds together many parts of the human body. Because connective tissue is found throughout the body, some of these disorders af​fect many organ systems, including the skeleton, lungs, eyes, heart and blood vessels. Heart and vascular problems are the most serious complications that can result from a connective tissue disorder.

Sometimes the cause of a connective tissue disorder is unclear, but many are inherited (genetic). These disorders​ range from common to rare. Symptoms and treatment depend on the disorder. Treatment of heart complications may involve restriction of certain physical activities, pharmacologic (medication) treatment or surgical repair.

Our Team

We provide a multidisciplinary team of experts from different healthcare specialties to make sure your child gets the most comprehensive care possible. This team meets weekly to discuss and decide on a care plan for each patient, which allows multiple heart doctors to weigh in on treatment options for your child. The team of experts includes:

 

Cardiology

Joseph A. Camarda, MD

Attending Physician, Cardiology

Assistant Professor of Pediatrics (Cardiology), Northwestern University Feinberg School of Medicine

Kelly L. Cox, MD

Attending Physician, Cardiology

Assistant Professor of Pediatrics (Cardiology), Northwestern University Feinberg School of Medicine

Elizabeth S. Cappella, MSN, APRN-NP, CPNP-PC

Pediatric Nurse Practitioner, Connective Tissue Disorders Program

Christina T. Hannon DNP, APRN-NP, CPNP-PC

Pediatric Nurse Practitioner, Connective Tissue Disorders Program

Jessie Koester, BSN, RN

Registered Nurse

Becca Kraft, BM

Clinical Coordinator

Genetics

Judith Marshall, MS, APRN-NP, FNP

Family Nurse Practitioner, Genetics, Birth Defects and Metabolism

Angelique E. Mercier, MS, CGC

Genetic Counselor

The Lurie Children's Difference

Our care is family-centered​ and includes support for the whole family. We also collaborate with the Lurie Children's Adult Congenital Heart Disease Program and the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital to help pediatric patients transition to adult care as well as to assist in family screening. 

Conditions We Treat

Our specialists evaluate and tre​at a wide range of connective tissue disorders that can involve the heart and blood vessels, including:

Medical Care & Testing

If you or your child has been diagnosed, it is important to receive medical care from a cardiologist who has experience with this condition. Because changes in valve function, size of the aorta and/or heart function occur over time and are different for every individual, lifelong monitoring is important. Your cardiologist may recommend a variety of tests, including:

  • Echocardiogram: A test that uses sound waves to create moving pictures of your child’s heart. This test provides important information about heart and valve function and usually takes one hour to complete.
  • Cardiac magnetic resonance imaging (MRI): A test that uses a strong magnet and pulsed radio waves to create detailed images of the heart that may not be obtainable by ultrasound. An MRI typically takes over an hour. 
  • Computerized tomography (CT): A test that offers a detailed look at internal organs, bones, blood vessels and soft tissues. 
  • Cardiac magnetic resonance angiography (MRA): A test that uses a strong magnet and pulsed radio waves to detect problems with the aorta and other blood vessels.
  • 4-D MRI scan: A cutting-edge technology developed and used at Lurie Children’s and other select institutions.

What to Expect

Depending upon each individual patient's clinical presentation and history, we will either recommend initial evaluation by our cardiology or genetics team. 

The easiest way to detect heart involvement in connective tissue disorders and to check for disease progression is with a heart ultrasound (echocardiogram​). We perform this painless test in our accredited echocardiography laboratory. When more information is needed, we offer additional cardiac imaging techniques, such as computerized tomography (CT) and magnetic resonance imaging (MRI​).

Our specialists can provide long-term monitoring and care for your child or young adult, or they can provide a second opinion regarding diagnosis and treatment.

Once a family member is identified with a connective tissue disorder, we recommend screening all first-degree relatives (such as siblings and parents) for the disease, with either echocardiography or genetic testing if the patient has a known genetic mutation.

Make an Appointment

If you have not yet received genetic testing, please contact the Division of Genetics, Birth Defects and Metabolism at 312.227.6120.

If you have already received genetic testing, please contact our clinical services coordinator Becca Kraft at 312.227.4638 or CTDCardiology@luriechildrens.org. Additionally, please send all cardiology records and genetics results to the Division of Cardiology via fax: 312.227.9640.

Resources & Support

For more inform​ation regarding Marfan syndrome and related disorders, please visit the following helpful websites: