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Cited by 4Genetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesConnective tissue disorders researchAortic Disease and Treatment Approaches

Relationship between echocardiographic and magnetic resonance-derived measurements of the thoracic aorta in Turner syndrome patients

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Krikščiūnienė, Rūta, Navickaitė, Inesa, Ereminienė, Eglė, Lukoševičius, Saulius, Žilaitienė, Birutė, Verkauskienė, Rasa·2019·International Journal of Endocrinology
DOI 10.1155/2019/9258726PMC PMC6721444
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Abstract

Introduction. Turner syndrome (TS) is assigned to the rare diseases group. Morbidity and mortality of TS patients are high, particularly due to the cardiovascular disorders, so monitoring for cardiovascular complications must be ensured. The data demonstrate a strong correlation between 2-dimensional echocardiographic (2Decho) evaluation and magnetic resonance imaging (MRI); still, according to recent guidelines, MRI remains a gold standard. In this study, we aimed to compare aortic dimensions on MRI and 2Decho in TS patients. Methods. 50 TS patients (≥18 years) were enrolled into the cross-sectional study. 2Decho and MRI were performed. The measurements of the aorta were assessed in five standard positions on 2Decho and in 9 standard positions on MRI; ASI (aortic size index) of the ascending aorta was calculated since reduced adult height is observed in TS patients. Results. ASI on echocardiography strongly correlated with ASI on MRI in all positions of the ascending aorta, but significantly larger medians of ASI were found on 2Decho in all positions of the ascending aorta and arch when compared with MRI measurements. Still, the prevalence of aortic sinus dilation was significantly and more frequently (52% vs. 38%, p<0.001 ) observed on MRI when compared with 2Decho. Conclusion. The relation of aortic size was significant in all positions when comparing the MRI and 2Decho methods; still, the dilatation of the sinus of aorta was more frequently found on MRI compared with echocardiography.

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  • CMR is superior to TTE for the diagnosis of BAV, aortic dilation and aortic arch anomalies while also providing important data on shunt fractions and ventricular volumes.

    “CMR is also superior to TTE for the diagnosis of BAV, aortic dilation and aortic arch anomalies395,429-433 while also providing important data on shunt fractions and ventricular volumes that may inform clinical management.388”

    From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [429]

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Authors
Krikščiūnienė, R., Navickaitė, I., Ereminienė, E., Lukoševičius, S., Žilaitienė, B., & Verkauskienė, R.
Affiliations
Lithuanian University of Health Sciences (LT)
Corresponding author
Krikščiūnienė, Rūta
ORCID
Venue
International Journal of Endocrinology
Publisher
Wiley
Published
2019-08-20
Volume
2019
Pages
1-6
ISSN
  • 1687-8337 (ISSN-L)
  • 1687-8345
DOI
10.1155/2019/9258726
PMC
PMC6721444
OpenAlex
W2969932936
Cited by
4
References
32
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2021: 1
FWCI
0.15
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Endocrinology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Lithuanian University of Health Sciences (submittedVersion)
Funders
Lietuvos Mokslo Taryba (MIP-048/2015)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Disease and Treatment Approaches
Keywords
Turner syndrome, thoracic aorta, aortic size index, ascending aorta, aortic arch, aortic dilatation, two-dimensional echocardiography, cardiac magnetic resonance imaging, cardiovascular complications, diagnostic agreement

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