Evaluation of Cardiovascular Anomalies in Patients with Asymptomatic Turner Syndrome Using Multidetector Computed Tomography
Journal of Korean Medical Science
; : 1169-1173, 2013.
Article
in En
| WPRIM
| ID: wpr-173140
Responsible library:
WPRO
ABSTRACT
Turner syndrome is well known to be associated with significant cardiovascular abnormalities. This paper studied the incidence of cardiovascular abnormalities in asymptomatic adolescent patients with Turner syndrome using multidetector computed tomography (MDCT) instead of echocardiography. Twenty subjects diagnosed with Turner syndrome who had no cardiac symptoms were included. Blood pressure and electrocardiography (ECG) was checked. Cardiovascular abnormalities were checked by MDCT. According to the ECG results, 11 had a prolonged QTc interval, 5 had a posterior fascicular block, 3 had a ventricular conduction disorder. MDCT revealed vascular abnormalities in 13 patients (65%). Three patients had an aberrant right subclavian artery, 2 had dilatation of left subclavian artery, and others had an aortic root dilatation, aortic diverticulum, and abnormal left vertebral artery. As for venous abnormalities, 3 patients had partial anomalous pulmonary venous return and 2 had a persistent left superior vena cava. This study found cardiovascular abnormalities in 65% of asymptomatic Turner syndrome patients using MDCT. Even though, there are no cardiac symptoms in Turner syndrome patients, a complete evaluation of the heart with echocardiography or MDCT at transition period to adults must be performed.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Turner Syndrome
/
Vertebral Artery
/
Blood Pressure
/
Prevalence
/
Cardiovascular Abnormalities
/
Electrocardiography
/
Vascular Malformations
/
Multidetector Computed Tomography
/
Karyotyping
Type of study:
Prevalence_studies
Limits:
Adolescent
/
Humans
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2013
Type:
Article