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Turner's syndrome with Severe Coarctation of the Aorta: A Case Report
1Dr Naveen Sheikh, Associate Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh;
Insights
This study details a case of severe coarctation of the aorta in a young patient with Turner
Area of Science:
- Cardiology
- Pediatrics
- Genetics
Background:
- Cardiovascular abnormalities are common in Turner's syndrome (TS).
- Hypertension is a significant concern in TS patients.
- Coarctation of the aorta is a critical congenital heart defect.
Observation:
- A 12-year-old girl diagnosed with Turner's syndrome presented with hypertension.
- Diagnostic imaging revealed severe coarctation of the aorta distal to the left subclavian artery.
Findings:
- The patient exhibited a significant pressure gradient across the coarctation segment.
- Percutaneous intervention was selected as the treatment strategy due to the severity and hypertension.
Implications:
- This case highlights the importance of cardiovascular screening in Turner's syndrome.
- Percutaneous intervention is a viable option for managing coarctation of the aorta in pediatric patients with TS.
Abstract:
Cardiovascular abnormalities are frequently encountered in patients with Turner's syndrome. A 12-year-old girl with Turner's syndrome (TS) was referred from the endocrinology department for management of hypertension. After Echocardiography and CT angiography, we confirmed that she had severe coarctation of the aorta, just distal to the left subclavian artery. Due to high-pressure gradient in the coarct segment, in presence of hypertension, we made the decision for percutaneous intervention of coarctation of aorta.