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Aortic dissection and Turner's syndrome.

C Weytjens¹, T Bové, P Van Der Niepen

¹Department of Internal Medicine, University Hospital, Vrije Universiteit Brussel, Belgium.

The Journal of Cardiovascular Surgery

|July 20, 2000

Summary

Turner

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Area of Science:

Cardiovascular Medicine
Genetics
Obstetrics

Background:

Turner's syndrome is frequently associated with cardiovascular anomalies, including aortic coarctation and bicuspid aortic valve.
Aortic dissection is a rare but serious complication in Turner's syndrome patients, often involving the ascending aorta and necessitating surgical intervention.

Observation:

A rare case of DeBakey type IIIb aortic dissection occurred in a patient with Turner's syndrome mosaicism.
The dissection presented without proximal aortic involvement, dilation, or other cardiovascular malformations.
The event followed a caesarean section for eclampsia.

Findings:

The patient's distal aortic dissection was managed medically due to its uncomplicated nature and lack of ascending aorta involvement.
Fifteen-month follow-up showed clinical stability with a stable dissection of the descending and abdominal aorta on CT scan.

Implications:

This case highlights that aortic dissection in Turner's syndrome can occur distally without pre-existing aortic dilation or malformations.
It suggests that medical management may be appropriate for specific types of aortic dissections in this patient population.
Further research is needed to refine management strategies for aortic complications in Turner's syndrome.

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