Endovascular Repair of Dissecting Thoracic Aortic Aneurysm in a Patient with Turner Syndrome

Purpose: To report a rare case of dissecting thoracic aortic aneurysm in a young patient with Turner syndrome owing to complete or partial monosomy of the X chromosome. Case Report: A 22-year-old patient with Turner syndrome presented with a 2-month history of voice loss and dysphagia. Multislice co...

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Bibliographic Details
Published in:Journal of endovascular therapy 2006-10, Vol.13 (5), p.693-696
Main Authors: Petrov, Ivo, Nedevska, Maria, Chilingirova, Nezabravka, Simeonov, Peyo, Kratunkov, Pencho, Stoinova, Vesela, Nikolov, Dimitar, Konteva, Mariana, Tzarianski, Georgi, Tschirkov, Alexander I.
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - etiology
Aneurysm, Dissecting - surgery
Aneurysms
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - etiology
Aortic Aneurysm, Thoracic - surgery
Blood Vessel Prosthesis Implantation
Case studies
Female
Genetic disorders
Humans
Hypothyroidism
Medical treatment
Patients
Risk factors
Stents
Subclavian Artery - surgery
Tomography, X-Ray Computed
Turner Syndrome - complications
Turner Syndrome - diagnostic imaging
Vascular Patency
Vascular surgery
Veins & arteries
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Summary:Purpose: To report a rare case of dissecting thoracic aortic aneurysm in a young patient with Turner syndrome owing to complete or partial monosomy of the X chromosome. Case Report: A 22-year-old patient with Turner syndrome presented with a 2-month history of voice loss and dysphagia. Multislice computed tomography (MSCT) disclosed a large (53times75-mm) aneurysm with focal dissection affecting the distal part of the aortic arch and the proximal descending aorta, partially involving the left subclavian artery. A TAG endoprosthesis was implanted without complications. MSCT scans at 3 and 6 months after the procedure showed good position and patency of the stent-graft, with total exclusion and shrinkage of the aneurysm. After 1 year of follow-up, she is doing well, without voice disturbances or dysphagia. Conclusion: Although cardiovascular malformations are common in patients with Turner syndrome, dissecting thoracic aortic aneurysm is unusual. Stent-graft repair would appear to be feasible in this situation, but long-term implantation in young patients has not been explored.
ISSN:1526-6028
1545-1550
DOI:10.1583/05-1663.1