Abstract
We report the successful surgical treatment of aortic regurgitation in a 27-year-old woman with Turner syndrome (TS) who was admitted with exacerbation of dyspnea on exertion. Echocardiography showed a bicuspid aortic valve with severe aortic regurgitation and computed tomography showed dilatation of the ascending aorta and aortic root. Due to the patient’s low body surface area (due to TS), standard determination of aortic size was not possible; therefore, we used the reference curves of aortic diameters in children. Because of the possibility of fatal ascending aortic dissection and rupture, we performed concomitant aortic root remodeling and aortic valve repair.
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References
Lopez L, Arheart KL, Colan SD, et al. Turner syndrome is an independent risk factor for aortic dilation in the young. Pediatrics. 2008;121(6):e1622–e1627.
Kaiser T, Kellenberger CJ, Albisetti M, Bergsträsser E, Buechel ERV. Normal values for aortic diameters in children and adolescents – assessment in vivo by contrast-enhanced CMR-angiography. J Cardiovasc Magn Reson. 2008;10:56.
Schäfers HJ, Schmied W, Marom G, Aicher D. Cusp height in aortic valves. J Thorac Cardiovasc Surg. 2013;146(2):269–274.
Gravholt CH, Landin-Wilhelmsen K, Stochholm K, Hjerrild BE, Ledet T, et al. Clinical and epidemiological description of aortic dissection in Turner’s syndrome. Cardiol Young. 2006;16:430–436.
Matura LA, Ho VB, Rosing DR, Bondy CA. Aortic dilatation and dissection in Turner syndrome. Circulation. 2007;116:1663–1670.
Dermengiu S, Ceausu M, Hostiuc S, Curca GC, Dermengiu D, Turculet C. Spontaneous aortic dissection due to cystic medial degeneration. Report of a sudden death case and literature review. Rom J Leg Med. 2009;17(2):89–96.
Kin H, Okabayashi H, Nakajima T, Takahashi K. Aortic dissection aneurysm with a bicuspid aortic valve in Turner’s syndrome. Surg Today. 2007;37:667–670.
Arimura S, Seki M, Sasaki K, et al. A nationwide survey of aortic valve surgery in Japan: current status of valve preservation in cases with aortic regurgitation. Gen Thorac Cardiovasc Surg. 2017;65:429–434.
Aicher D, Kunihara T, Issa OA, Brittner B, Gräber S, Schäfers H-J. Valve configuration determines long-term results after repair of the bicuspid aortic valve. Circulation. 2011;123:178–185.
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Inno, G., Takahashi, Y., Kato, Y. et al. Aortic root remodeling in a patient with Turner syndrome using the reference curves of aortic diameters in children. Gen Thorac Cardiovasc Surg 66, 667–670 (2018). https://doi.org/10.1007/s11748-018-0889-y
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DOI: https://doi.org/10.1007/s11748-018-0889-y