Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review

Turner syndrome (TS) is the most common chromosomal abnormality affecting females and cardiac abnormalities have been described in up to 50% of patients. Although coarctation represents one of the most frequent cardiac malformation, treatment options in these patients represent an area of debate, du...

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Main Authors: Daniela Toma, Dorottya-Anna Miklosi, Anca Sglimbea, Laszlo Hadadi, Marian Pop, Andreea Cerghit-Paler, Amalia Fagarasan, Rodica Toganel, Liliana Gozar
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2021-09-01
Series:Romanian Journal of Pediatrics
Subjects:
Online Access:https://rjp.com.ro/articles/2021.3/RJP_2021_3_Art-06.pdf
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author Daniela Toma
Dorottya-Anna Miklosi
Anca Sglimbea
Laszlo Hadadi
Marian Pop
Andreea Cerghit-Paler
Amalia Fagarasan
Rodica Toganel
Liliana Gozar
author_facet Daniela Toma
Dorottya-Anna Miklosi
Anca Sglimbea
Laszlo Hadadi
Marian Pop
Andreea Cerghit-Paler
Amalia Fagarasan
Rodica Toganel
Liliana Gozar
author_sort Daniela Toma
collection DOAJ
description Turner syndrome (TS) is the most common chromosomal abnormality affecting females and cardiac abnormalities have been described in up to 50% of patients. Although coarctation represents one of the most frequent cardiac malformation, treatment options in these patients represent an area of debate, due to associated aortopathy and risk for aortic dissection. In addition to the contradictory data found in the literature, regarding the safety profile and utility of stenting of coarctation of the aorta in TS patients, we present the case of a patient of pediatric age, who successfully underwent the procedure, being free from periprocedural and short-term complications. Beside the presentation itself, we aimed to review and summarize the data available in the literature regarding this topic. As a conclusion, we emphasise the role of minimally invasive interventional therapy and wish to underline the need of further, larger scale studies and guidelines in this patient group. Given the related aortopathy, all preventive measures should be undertaken to avoid aortic dissection during stent implantation in this vulnerable population. Although the evolution of our patient was favorable, data found in the literature is somewhat contradictory and a close follow-up is indicated to help evaluate the risk of long-term complications.
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spelling doaj.art-fed6404dcecb447a89c11e8f9167674b2022-12-22T02:27:10ZengAmaltea Medical Publishing HouseRomanian Journal of Pediatrics1454-03982069-61752021-09-0170319720110.37897/RJP.2021.3.6Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature reviewDaniela Toma0Dorottya-Anna Miklosi1Anca Sglimbea2Laszlo Hadadi3Marian Pop4Andreea Cerghit-Paler5Amalia Fagarasan6Rodica Toganel7Liliana Gozar8Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, RomaniaEmergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, RomaniaEmergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Emergency Institute of Cardiovascular Diseases and Transplantation, Tg. Mures, Romania; “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Tg. Mures, Romania Turner syndrome (TS) is the most common chromosomal abnormality affecting females and cardiac abnormalities have been described in up to 50% of patients. Although coarctation represents one of the most frequent cardiac malformation, treatment options in these patients represent an area of debate, due to associated aortopathy and risk for aortic dissection. In addition to the contradictory data found in the literature, regarding the safety profile and utility of stenting of coarctation of the aorta in TS patients, we present the case of a patient of pediatric age, who successfully underwent the procedure, being free from periprocedural and short-term complications. Beside the presentation itself, we aimed to review and summarize the data available in the literature regarding this topic. As a conclusion, we emphasise the role of minimally invasive interventional therapy and wish to underline the need of further, larger scale studies and guidelines in this patient group. Given the related aortopathy, all preventive measures should be undertaken to avoid aortic dissection during stent implantation in this vulnerable population. Although the evolution of our patient was favorable, data found in the literature is somewhat contradictory and a close follow-up is indicated to help evaluate the risk of long-term complications.https://rjp.com.ro/articles/2021.3/RJP_2021_3_Art-06.pdfturner syndromecoarctationstentinginterventional therapypediatric
spellingShingle Daniela Toma
Dorottya-Anna Miklosi
Anca Sglimbea
Laszlo Hadadi
Marian Pop
Andreea Cerghit-Paler
Amalia Fagarasan
Rodica Toganel
Liliana Gozar
Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review
Romanian Journal of Pediatrics
turner syndrome
coarctation
stenting
interventional therapy
pediatric
title Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review
title_full Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review
title_fullStr Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review
title_full_unstemmed Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review
title_short Successful percutaneous stenting of coarctation of the aorta in Turner syndrome – a case report and literature review
title_sort successful percutaneous stenting of coarctation of the aorta in turner syndrome a case report and literature review
topic turner syndrome
coarctation
stenting
interventional therapy
pediatric
url https://rjp.com.ro/articles/2021.3/RJP_2021_3_Art-06.pdf
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