主动脉大小指数在预测特纳综合征患者主动脉夹层风险方面的不可靠性。
Unreliability of aortic size index to predict risk of aortic dissection in a patient with Turner syndrome.
作者信息
Nijs Jan, Gelsomino Sandro, Lucà Fabiana, Parise Orlando, Maessen Jos G, Meir Mark La
机构信息
Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
出版信息
World J Cardiol. 2014 May 26;6(5):349-52. doi: 10.4330/wjc.v6.i5.349.
Abstract
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/m(2). 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 dissection 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/m(2) if other significant risk factors are present.
摘要
主动脉大小指数（ASI）已被提议作为预测特纳综合征患者主动脉夹层风险的可靠标准，显著阈值为20 - 25 mm/m²。我们报告了一例特纳综合征患者发生主动脉弓夹层的病例，根据所提出的ASI阈值，该患者被认为主动脉夹层或破裂风险较低，不符合预防性手术的条件。本病例报告有力地支持，即使ASI < 20 mm/m²，但如果存在其他显著风险因素，仍需进行仔细监测和手术评估。
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