Coronary aneurysm in a young patient with Turner syndrome
Denise van der Linde1, Ricardo P J Budde2, Jolien W Roos-Hesselink1
1Department of Cardiology, Erasmus Medical Center, Rotterdam, the Netherlands.
Cardiology in the Young
|April 8, 2021
Insights
A young woman with Turner syndrome was diagnosed with a significant coronary artery aneurysm. This finding occurred during screening for aortic conditions using CT angiography.
Area of Science:
- Cardiology
- Genetics
- Medical Imaging
Background:
- Turner syndrome is a genetic condition affecting females, often associated with cardiovascular abnormalities.
- Coronary artery aneurysms are rare but serious vascular conditions.
- Screening for aortic pathology can incidentally detect other cardiovascular issues.
Purpose of the Study:
- To report a case of a large coronary artery aneurysm in a patient with Turner syndrome.
- To highlight the importance of comprehensive cardiovascular assessment in Turner syndrome.
- To discuss the diagnostic approach and potential implications of coronary aneurysms in this population.
Main Methods:
- Computed tomography (CT) angiography was utilized for screening.
- The imaging focused on evaluating the aorta and associated structures.
- Detailed analysis of the coronary arteries was performed upon incidental finding.
Main Results:
- A large aneurysm was identified in the left anterior descending coronary artery.
- The patient had a confirmed diagnosis of Turner syndrome.
- The aneurysm was discovered during a screening for unrelated aortic pathology.
Conclusions:
- Coronary artery aneurysms can occur in individuals with Turner syndrome.
- CT angiography is effective in detecting coronary artery abnormalities.
- Further investigation into the association between Turner syndrome and coronary aneurysms may be warranted.
Abstract:
A young woman with Turner syndrome was found to have a large coronary aneurysm in the left anterior descending coronary artery upon CT angiogram screening for aortic pathology.
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