Cited by 206Cardiovascular Issues in PregnancyReproductive Health and TechnologiesGenetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities

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Risk of death in pregnancy achieved through oocyte donation in patients with Turner syndrome: a national survey

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Karnis, Megan Freebury, Zimon, Alison Elizabeth, Lalwani, Sasmira Indru, Timmreck, Lorna Smink, Klipstein, Sigal, Reindollar, Richard Henry·2003·Fertility and Sterility

DOI 10.1016/s0015-0282(03)00974-9

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Abstract

Unlabelled To determine the risk of death in pregnant women with Turner syndrome who were treated with oocyte donation, and to ascertain the prevalence of preconception cardiac screening in these patients.Design Survey and literature review.Setting Academic infertility center.Participant(s) All 258 donor-egg programs in the 1997 Assisted Reproductive Technology Success Rates publication from the Society for Artificial Reproductive Technology were surveyed by fax or telephone.Main outcome measure(s) Death in pregnancy conceived through oocyte donation and proportion of patients prescreened with echocardiography.Results One hundred thirty-four (52%) programs reported 146 Turner patients treated, resulting in 101 pregnancies. One patient died from aortic rupture while awaiting treatment; 72 (49.3%) patients were pre- screened with echocardiography. No deaths in pregnancy were reported. A literature review identified four case reports of Turner patients who died during pregnancy in the United States during the same time period.Conclusion(s) The maternal risk of death from rupture or dissection of the aorta in pregnancy may be 2% or higher. Patients with Turner syndrome have not been adequately screened with echocardiography before treatment. Specialists who treat patients with Turner syndrome need to be aware of their cardiac risk and its potential exacerbation from the increased cardiac demands of pregnancy.

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Gynecologic and Obstetric Care in Patients With Turner Syndrome
Kashani, B. N., Perlman, B. E., & McGovern, P. G. (2018) · Topics in Obstetrics & Gynecology · doi:10.1097/01.pgo.0000527925.47317.0a
Oral Hormone Replacement Therapy and Uterine Volume in Korean Adolescents with Turner Syndrome: A Retrospective Case-Control Study
Choi, E., Lee, Y. J., Kim, H. I., Kim, H., Seo, S. K., Choi, Y. S., & Yun, B. H. (2024) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2024.06.006

Authors: Karnis, M. F., Zimon, A. E., Lalwani, S. I., Timmreck, L. S., Klipstein, S., & Reindollar, R. H.
Affiliations: Beth Israel Deaconess Medical Center (US)
Corresponding author: Reindollar, Richard Henry
ORCID: Lalwani, Sasmira Indru
Klipstein, Sigal
Venue: Fertility and Sterility
Publisher: Elsevier BV
Published: 2003-09
Volume: 80
Issue: 3
Pages: 498-501
ISSN: 0015-0282 (ISSN-L)
DOI: 10.1016/s0015-0282(03)00974-9
OpenAlex: W2117660982
Cited by: 206
References: 22
Citations by year: 2026: 3 · 2025: 1 · 2024: 6 · 2023: 4 · 2022: 10 · 2021: 2 · 2020: 13 · 2019: 7 · 2018: 8 · 2017: 4 · 2016: 13 · 2015: 10 · 2014: 12 · 2013: 16 · 2012: 11
FWCI: 5.49
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6843 d)
Locations: Fertility and Sterility (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Issues in Pregnancy
Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
Keywords: Turner syndrome, oocyte donation, pregnancy mortality, aortic dissection, aortic rupture, echocardiography
MeSH terms: Aortic Dissection, Aortic Aneurysm, Female, Humans, Population Surveillance, Pregnancy, Pregnancy Complications, Risk Factors, Turner Syndrome, Aneurysm, Ruptured, Oocyte Donation

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Risk of death in pregnancy achieved through oocyte donation in patients with Turner syndrome: a national survey

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