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Cited by 49Genetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesAortic Disease and Treatment ApproachesConnective tissue disorders research

Aortic dimensions in girls and young women with Turner syndrome: a magnetic resonance imaging study

Cleemann, Line, Mortensen, Kristian H., Holm, Kirsten, Smedegaard, Heidi, Skouby, Sven O., Wieslander, Steen B., Leffers, Anne-Mette, Leth-Espensen, Per +2 more·2010·Pediatric Cardiology
DOI 10.1007/s00246-009-9626-8
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Abstract

This study aimed to determine the dimensions of the thoracic aorta and the predictors of aortic dimensions in girls and young women with Turner syndrome (TS). A cross-sectional study was performed at a secondary care center. The study compared 41 TS patients with 50 healthy age-matched control subjects. The mean age of the patients was 17 +/- 3.3 years. Magnetic resonance imaging was performed for all the patients. The thoracic aortic diameters of the patients were measured at nine positions. Adjustment for body surface area (BSA) was performed. The outcome for the patients was measured in terms of absolute and BSA-adjusted aortic dilation. In TS, both the absolute and the BSA-adjusted mean aortic diameters were smaller than or comparable with those of the control subjects. However, individual aortic dilation at one to four positions was found in four TS patients according to the uncorrected data and in five TS patients after BSA-adjustment. The aortic diameters correlated with height, weight, body mass index (BMI), and BSA at all positions (R = 0.34-0.60; all p < 0.04). The diameters of the aortic arch and the descending aorta correlated with a history of aortic coarctation (R = 0.35-0.52; p < 0.03). The presence of bicuspid aortic valves correlated at the descending part of the aorta (R = 0.38; p < 0.03). The mean thoracic aortic dimensions were not enlarged in girls or young TS patients. The BSA predicted aortic size at all positions. The prevalence of aortic dilation and aneurysm was lower in this population of girls and younger women with TS than in older TS populations.

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  • In one study, AHI showed greater predictive value compared to the absolute diameter, Z-score, or ASI.

    “In practice, AHI is easiest to use and in one study showed greater predictive value compared to the absolute diameter, Z-score, or ASI. This is probably due to the prevalence of obesity, which can deflate the ASI or Z-score (Table 13).233,234,445”

    From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [445]

  • The greater predictive value of AHI is probably due to the prevalence of obesity, which can deflate the ASI or Z-score.

    “In practice, AHI is easiest to use and in one study showed greater predictive value compared to the absolute diameter, Z-score, or ASI. This is probably due to the prevalence of obesity, which can deflate the ASI or Z-score (Table 13).233,234,445”

    From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [445]

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Authors
Cleemann, L., Mortensen, K. H., Holm, K., Smedegaard, H., Skouby, S. O., Wieslander, S. B., Leffers, A.-M., Leth-Espensen, P., Pedersen, E. M., & Gravholt, C. H.
Affiliations
  • Nordsjællands Hospital (DK)
  • Aarhus University Hospital (DK)
  • Herlev Hospital (DK)
Corresponding author
Cleemann, Line
ORCID
Venue
Pediatric Cardiology
Publisher
Springer Science and Business Media LLC
Published
2010-01-10
Volume
31
Issue
4
Pages
497-504
ISSN
  • 0172-0643 (ISSN-L)
  • 1432-1971
DOI
10.1007/s00246-009-9626-8
OpenAlex
W1980043911
Cited by
49
References
30
Citations by year
2024: 2 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 7 · 2013: 5 · 2012: 5
FWCI
2.88
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Pediatric Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Disease and Treatment Approaches
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
Keywords
Turner syndrome, thoracic aorta, aortic dimensions, aortic dilatation, aortic aneurysm, body surface area correction, coarctation of the aorta, bicuspid aortic valve, aortic arch, descending aorta, aortic arch stenosis, young women
MeSH terms
Adolescent, Age Factors, Aorta, Thoracic, Aortic Coarctation, Aortic Valve, Aortography, Body Height, Body Surface Area, Body Weight, Child, Cross-Sectional Studies, Dilatation, Pathologic, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Organ Size, Reference Values, Turner Syndrome, Body Mass Index, Magnetic Resonance Angiography, Imaging, Three-Dimensional, Young Adult

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