Unreliability of aortic size index to predict risk of aortic dissection in a patient with Turner syndrome

Aortic size index(ASI) has been proposed as a reliable criterion to predict risk for aortic dissection in Turner syndrome with significant thresholds of 20-25 mm/m2. We report a case of aortic arch dissection in a patient with Turner syndrome who, from the ASI thresholds proposed, was deemed to be a...

Full description

Saved in:
Bibliographic Details
Published in:World journal of cardiology 2014-05, Vol.6 (5), p.349-352
Main Authors: Nijs, Jan, Gelsomino, Sandro, Lucà, Fabiana, Parise, Orlando, Maessen, Jos G, Meir, Mark La
Format: Article
Language:English
Subjects:
aneurysm
Aortic
Case Report
dissection
syndrome
Turner
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aortic size index(ASI) has been proposed as a reliable criterion to predict risk for aortic dissection in Turner syndrome with significant thresholds of 20-25 mm/m2. We report a case of aortic arch dissection in a patient with Turner syndrome who, from the ASI thresholds proposed, was deemed to be at low risk of aortic dis-section or rupture and was not eligible for prophylactic surgery. This case report strongly supports careful monitoring and surgical evaluation even when the ASI is < 20 mm/m2 if other significant risk factors are present.
ISSN:1949-8462
1949-8462
DOI:10.4330/wjc.v6.i5.349