Original Article

The Role of Cardiac Magnetic Resonance İmaging in Determination of Cardiyovascular Anomalies in Children and Young Adults with Turner Syndrome

10.4274/jpr.galenos.2018.63439

  • Özlem Korkmaz
  • Recep Savaş
  • Ertürk Levent
  • Samim Özen
  • İlkin Mecidov
  • Damla Gökşen
  • Şükran Darcan

Received Date: 28.11.2018 Accepted Date: 28.12.2018 J Pediatr Res 0;0(0):0-0 [e-Pub]

Aim:

Congenital cardiovascular anomalies and aortic dilatation are common in patients with Turner syndrome. The aim of this study was to compare echocardiography findings with cardiovascular anomalies and aortic dilatation identified using magnetic resonance imaging in children and young adults with Turner syndrome.

Materials and Methods:

Twenty-six girls with TS aged 11-20 years were recruited through tertiary centers. Cardiovascular anomalies and aortic diameter were evaluated using cardiovascular magnetic resonance imaging (CVMR). Auxological measurements, karyotype analyses, medical therapies (growth hormone, estrogen, and thyroid replacement therapy) and transthoracic echocardiography findings were recorded for all participants.

Results:

Normal cardiac anatomy was identified in 16 (61.5%) of our 26 cases, with no cardiac pathology being identified at either CVMR or echocardiography. Cardiovascular anomalies were identified in 5 of the 26 (19.2%) patients at CVMR. Aortic dilatation was determined in four patients (one with descending and ascending aorta, one with ascending aorta, and two with descending aorta). Aortic size index was < 2 cm/m² in all patients. Echocardiography was normal for the three patients with malformation detected at CVMR.

Conclusion:

CVMR identifies significant cardiac lesions missed by echocardiography in pediatric patients with Turner syndrome, especially aortic dilatation and other vascular anomalies.

Keywords: Turner Syndrome, cardiac magnetic resonance imaging, cardiovascular anomalies