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Safety of Aortic Coarctation Treatment in Patients With Turner Syndrome: A Single-Country Case Series and Literature Review Publisher Pubmed



Shahri HMM1 ; Mortezaeian H2 ; Firouzi A2 ; Khajali Z2 ; Birjandi H1 ; Nezafati MH3 ; Radmehr H4 ; Zanjani KS4
Authors
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Authors Affiliations
  1. 1. Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
  3. 3. Department of Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  4. 4. Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Annals of Vascular Surgery Published:2022


Abstract

Background: Coarctation of the aorta is a common cardiac disease in Turner syndrome. Evidence indicates that surgery and balloon angioplasty in infants and small children do not have any added risk of mortality or complication in these patients. Stenting in older patients may, however, pose higher risks of arterial wall injury and mortality. Methods: In this case series, we describe 15 patients with coarctation of the aorta in Turner syndrome: 9 received stenting, 4 underwent surgery, and 2 were treated via balloon angioplasty. Results: Dissection occurred in 2 patients after stenting: 1 in the aorta and the other in the external femoral artery. Both were managed promptly without any mortality or serious damage, one percutaneously and the other surgically. Conclusions: Awareness of increased risks and preparedness for prompt interventions in case of an acute arterial wall injury are recommended when coarctation stenting is done for a patient with Turner syndrome. © 2022 Elsevier Inc.