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World J Cardiol. May 26, 2014; 6(5): 349-352
Published online May 26, 2014. doi: 10.4330/wjc.v6.i5.349
Published online May 26, 2014. doi: 10.4330/wjc.v6.i5.349
Unreliability of aortic size index to predict risk of aortic dissection in a patient with Turner syndrome
Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium
Sandro Gelsomino, Fabiana Lucà, Orlando Parise, Jos G Maessen, Cardiothoracic Department, Maastricht University Hospital, 6229 HX Maastricht, The Netherlands
Author contributions: Nijs J and Gelsomino S conceived and drafted the article; Parise O and Lucà F contributed to the imaging and revised the manuscript for important intellectual contents; Maessen JG and La Meir M approved the final version of the manuscript to be published.
Correspondence to: Sandro Gelsomino, MD, PhD, Cardiothoracic Department, Maastricht University Hospital, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands. sandro.gelsomino@libero.it
Telephone: +31-43-3877070 Fax: +31-43-3875075
Received: December 31, 2013
Revised: March 11, 2014
Accepted: March 17, 2014
Published online: May 26, 2014
Processing time: 171 Days and 14.7 Hours
Revised: March 11, 2014
Accepted: March 17, 2014
Published online: May 26, 2014
Processing time: 171 Days and 14.7 Hours
Core Tip
Core tip: Aortic size index (ASI) has been proposed as a reliable criterion to predict risk of aortic dissection in Turner syndrome. This case report emphasizes the need for careful monitoring and surgical evaluation of the patients even when the ASI is < 20 mm/m2 if other significant risk factors are present.