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New Jersey twins receive matching heart surgeries after Marfan syndrome diagnosis: 'A better life'

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New Jersey twins receive matching heart surgeries after Marfan syndrome diagnosis: 'A better life'

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The notion that twins do everything together has met a new standard.

Identical twin brothers Pablo and Julio Delcid, 21, underwent matching heart surgeries on the exact same day following their diagnosis of Marfan syndrome.

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The duo, of Dover, New Jersey, had been alerted to their risk of Marfan syndrome because a majority of their family members also have it, the twins told Fox News Digital in an on-camera interview.

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“We’re a family of five. I have two older sisters who have it,” Julio Delcid said. “My older brother doesn’t have it as much … But I also have other family members who have it, too — pretty much through my whole family on my mom’s side.”

Left to right, Pablo Delcid and Julio Delcid celebrate Christmas with some of their family members. (Pablo and Julio Delcid)

“It’s very genetic,” Pablo Delcid added. “When we were younger and were first diagnosed with it, nobody knew what it was.” 

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He added, “Nobody knew they even had it until tests kept coming in, and they were like, ‘Yeah, it’s pretty genetic. Everyone should get tested.’”

What is Marfan syndrome?

Fox News Digital spoke with Dr. Benjamin Van Boxtel, surgical director at the Atlantic Aortic Center at Morristown Medical Center, in a separate interview about the condition; he performed the twins’ surgeries.

The cardiovascular surgeon said that while Marfan syndrome is mostly genetic, it can also occur at random. It’s a defect of the gene that creates connective tissues in the human body, he said.

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“Because it’s a broad defect in these connective tissues, it can affect many different parts of the body,” he said. “So, this could be anywhere from the eyes to the spine and … the heart.”

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“The most dangerous symptom you could develop with Marfan syndrome is a dilation of the aorta, specifically in the root,” he added.

Van Boxtel said the aortic root in Marfan syndrome can become dilated or enlarged, which can cause an “immediately fatal” tear or rupture.

Van Boxtel holds up a “tube-shaped graft” model used during a valve sparing root operation, in which the surgeon “replaces the aortic root and then hand-sews leaflet by leaflet inside that graft.”  (Angelica Stabile/Fox News Digital)

“Or it can cause something called an aortic dissection, which is also potentially very fatal, and becomes a surgical emergency,” he said. “That’s unfortunately how a lot of people who have Marfan syndrome pass away.”

Many of those people don’t even know they have the syndrome, Van Boxtel noted.

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A valve-sparing root procedure performed before a dilated aorta dissects can be a life-saving operation.

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Marfan syndrome can be difficult to spot, according to Van Boxtel, as it’s often marked by common symptoms such as chest pain, poor vision — or being tall and having long limbs.

“When you have an aneurysm [from a] dilated aorta, it’s generally asymptomatic, meaning you feel absolutely nothing,” he said. “You feel completely fine … Aneurysm disease is silent, it’s asymptomatic — which can be really dangerous.”

Left to right, Julio Delcid, the twins’ mother, Betulia Miranda, and Pablo Delcid snap a selfie. (Pablo and Julio Delcid)

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Pablo Delcid, for his part, said there’s “not much you can feel when you’re growing into the condition.”

He added, “What we didn’t know was that our bodies were changing … obviously with height, vision, the length of our arms, feet, legs, even with our chest.”

Surgery on the same day

The twins’ mother, Betulia Miranda, had an emergency procedure on Oct. 8, 2023, after experiencing an aortic dissection, which the boys described as “excruciating” for her.

After their mother’s surgery was a success, the twins decided to seek preventative surgery performed by Dr. Van Boxtel – but their one request was that they do it together.

“Of course they’re like, ‘Can we go at the same time?’” the doctor said with a laugh.

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Van Boxtel, a father of twins himself, said the double surgery was like “nothing I’ve ever done before.” 

He said, “I’ve done this procedure hundreds of times. But to do it back-to-back on twin brothers — it was an experience, that’s for sure.”

It was decided that Pablo Delcid would go first, since he was born five minutes before his brother, followed by Julio Delcid several hours later.

Julio Delcid, left, and Pablo Delcid underwent heart surgery on Jan. 5, 2024. (Pablo and Julio Delcid)

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“We always do everything together,” Pablo Delcid said. “We live together, go through everything together … We didn’t think we could get the operation done together, but everything [was] successful.”

The twins agreed that they felt “safer” knowing they were going through the procedure together.

“You kind of feel like you’re not going to lose that person,” Julio Delcid said. “They’re sticking with you, side by side.”

“Aneurysm disease is silent, it’s asymptomatic — which can be really dangerous.”

Pablo Delcid added, “It’s like your gut’s telling you, ‘All right, if I make it, he’s going to make it.’”

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On surgery day, Jan. 5, 2024, Van Boxtel and his team distinguished the twins from one another using color-coded ankle bracelets.

The surgeon emphasized the rarity of double heart surgery on twins, especially at such a young age of 21. “This is like the ultimate twin study,” he said. 

Van Boxtel said it was “freaky” when he realized that the brothers’ hearts were also identical.

“I knew they could be different on the inside, but it ended up that they were the exact same,” he said.

Julio Delcid said he was “shocked” that a surgeon like Van Boxtel could take on both surgeries back to back.

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“He did the best he could,” he said. “He successfully saved our aortic valves, replacing the aneurysm … We were very appreciative.”

More about Marfan 

Marfan syndrome affects about one in 5,000 people, according to Van Boxtel, and impacts men and women equally.

“About 75% of those cases are genetic,” he said. “But about 25% of Marfan cases are actually not inherited. They’re not from a parent. They’re a spontaneous mutation.”

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Along with a dilated aortic root (enlarged aorta) or narrow dissection (tear in an artery), patients also run the risk of having a leaky valve, which can lead to heart failure symptoms like shortness of breath, chest pain, dizziness and inability to perform normal exertional activity, Van Boxtel said. 

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Since Marfan syndrome is often hard to spot on the surface, the Delcid twins emphasized the importance of getting tested, especially for those within the Latin and Hispanic communities.

Julio Delcid said that those at risk of Marfan syndrome should “take the time to get yourself checked out.” (Pablo and Julio Delcid)

“It’s pretty lethal,” Pablo Delcid said. “We almost lost our mother, and that was a traumatic experience.”

People with symptoms or with a family history of Marfan syndrome should educate themselves on how best to prevent an aneurysm and connect with a cardiology team, Julio Delcid reiterated.

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“It’s just very important to take the time and the opportunity to get the best treatment that they could possibly get, because if they wait, consequences will happen later,” he said.

“Don’t fear anything. Just take the time to get yourself checked out and get the help that you need to live a better life.”

Looking ahead with new hope

With the stresses of heart surgery behind them, the twins said they’re looking forward to getting outside, playing sports and exercising more than they could before.

“Both their valves were saved,” Van Boxtel said. “They weren’t leaking at the end. All the things that we look for in a very successful repair they had, and they’re going to go on and live normal, healthy lives.”

“It’s a very serious problem … but there’s prevention available, and if you get it at the right time, it can be very successful.”

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He said he hoped that “these valves last a really, really long time, if not the rest of their lives. They’re much better off now than they were walking around with aneurysms.”

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Van Boxtel thanked his team for handling the complex, same-day operations on young men with their “whole lives ahead of them.”

Dr. Benjamin Van Boxtel is a cardiovascular surgeon and the surgical director of the Atlantic Aortic Center at Morristown Medical Center. (Atlantic Health System)

The Marfan Foundation has various resources for patients at all stages of the condition, the doctor noted.

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“I can’t underscore how important it is for patients with aneurysms to be seen by a surgeon or a team who is comfortable performing that,” he said.

“It’s a very, very serious problem … but there’s prevention available, and if you get it at the right time, it can be very successful.”

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.

The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.

Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.

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The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)

“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release. 

“Our new results uncovered new biology while also opening doors for new drug targets.”

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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted. 

“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said. 

The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)

That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.

In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.

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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.

The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.

“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)

“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.

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Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.

Limitations and caveats

The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.

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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.

Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.

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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”

“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”

The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.

It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.

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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.

Fox News Digital reached out to the drug manufacturer and the researchers for comment.

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Seniors over 80 who eat specific diet may be less likely to reach 100 years old

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Seniors over 80 who eat specific diet may be less likely to reach 100 years old

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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.

Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.

Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.

The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.

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Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted. 

The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)

The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”

As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.

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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital. 

“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”

While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)

In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.

Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.

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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.

Potential limitations

The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.

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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.

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Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)

Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs. 

Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.

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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.

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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.

Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)

Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.

“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”

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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.

“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.

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