Unreliability of aortic size index to predict risk of aortic dissection in a patient with Turner syndrome  

作　　者：Jan Nijs Sandro Gelsomino Fabiana Lucà Orlando Parise Jos G Maessen Mark La Meir 

机构地区：[1]Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium [2]Cardiothoracic Department, Maastricht University Hospital, 6229 HX Maastricht, The Netherlands [3]Cardiothoracic Surgery, University Hos-pital, 1090 Brussels, Belgium

出　　处：《World Journal of Cardiology》2014年第5期349-352,共4页世界心脏病学杂志（英文版）（电子版）

摘　　要：Aortic size index(ASI) has been proposed as a reliable criterion to predict risk for aortic dissection in Turner syndrome with significant thresholds of 20-25 mm/m2. We report a case of aortic arch dissection in a patient with Turner syndrome who, from the ASI thresholds proposed, was deemed to be at low risk of aortic dis-section or rupture and was not eligible for prophylactic surgery. This case report strongly supports careful monitoring and surgical evaluation even when the ASI is < 20 mm/m2 if other significant risk factors are present.Aortic size index(ASI) has been proposed as a reliable criterion to predict risk for aortic dissection in Turner syndrome with significant thresholds of 20-25 mm/m2. We report a case of aortic arch dissection in a patient with Turner syndrome who, from the ASI thresholds proposed, was deemed to be at low risk of aortic dis-section or rupture and was not eligible for prophylactic surgery. This case report strongly supports careful monitoring and surgical evaluation even when the ASI is &lt; 20 mm/m2 if other significant risk factors are present.

关 键 词：AORTIC DISSECTION AORTIC ANEURYSM TURNER syndrome 

分 类 号：R543.1[医药卫生—心血管疾病]