Clinical significance of family history and bicuspid aortic valve in children and young adult patients with Marfan syndrome
| Autor: | Stefano Nistri, Pietro Strisciuglio, Emanuele Monda, Guido Oppido, Angelina Grammegna, Mariagiovanna Russo, Alessandro Della Corte, Adelaide Fusco, Martina Caiazza, Annapaola Cirillo, Paolo Calabrò, Guglielmina Pepe, Augusto Esposito, Marta Rubino, Giuseppe Limongelli, Alfredo Mauriello, Felice Gragnano, Daniela Melis |
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| Přispěvatelé: | Monda, E., Fusco, A., Caiazza, M., Gragnano, F., Mauriello, A., Cirillo, A., Rubino, M., Esposito, A., Pepe, G., Calabro, P., Strisciuglio, P., Della Corte, A., Oppido, G., Russo, M., Limongelli, G., Melis, D. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aortic valve
Marfan syndrome Male medicine.medical_specialty bicuspid aortic valve Adolescent 030204 cardiovascular system & hematology Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Bicuspid aortic valve Bicuspid Aortic Valve Disease Internal medicine Aortic sinus medicine Humans 030212 general & internal medicine Young adult Family history Child Medical History Taking family history business.industry General Medicine Cardiovascular Manifestation Sinus of Valsalva medicine.disease medicine.anatomical_structure Echocardiography Child Preschool Pediatrics Perinatology and Child Health Cohort Cardiology cardiovascular system Female Cardiology and Cardiovascular Medicine business Dilatation Pathologic |
| ISSN: | 1047-9511 |
| Popis: | Background:Marfan syndrome is an autosomal dominant disorder of the connective tissue, whose cardinal features affect eyes, musculoskeletal, and cardiovascular system. Despite prevalence and natural history of cardiovascular manifestation are well known in adults, little is known about children and young adult patients. The aim of this study was to describe a well-characterised cohort of consecutive children and young patients with marfan syndrome, looking at the impact of family history and presence of bicuspid aortic valve on disease severity.Methods:A total of 30 consecutive children and young patients with Marfan syndrome were evaluated. All patients underwent a comprehensive clinical–instrumental–genetic evaluation. Particular attention was posed to identify differences in prevalence of cardiovascular abnormalities between patients with and without family history of Marfan syndrome or bicuspid aortic valve.Results:Of these 30 patients, family history of Marfan syndrome and bicuspid aortic valve were present in 76 and 13%, respectively. Compared to patients with family history of Marfan syndrome, those without showed higher prevalence of aortic sinus dilation (87 versus 32%, p-value = 0.009), greater aortic sinus diameters (4.2 ± 2.1 versus 1.9 ± 1.1 z score, p-value = 0.002), and higher rate of aortic surgery during follow-up (37 versus 0%, p-value = 0.002). Compared to patients with tricuspid aortic valve, those with bicuspid aortic valve were younger (3.2 ± 4.3 versus 10.7 ± 6.8 years old, p-value = 0.043), showed greater aortic sinus diameters (4.2 ± 0.9 versus 2.2 ± 1.6 z score, p-value = 0.033), and underwent more frequently aortic root replacement (50 versus 4%, p-value = 0.004).Conclusions:In our cohort of patients with Marfan syndrome, the absence of family history and the presence of bicuspid aortic valve were associated to severe aortic phenotype and worse prognosis. |
| Databáze: | OpenAIRE |
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