Document Detail

Echocardiometric evaluation of cardiovascular abnormalities in Marfan syndrome.
MedLine Citation:
PMID:  16138695     Owner:  NLM     Status:  MEDLINE    
Marfan syndrome is an inherited disorder of connective tissue with manifestations in various organ-systems including cardiovascular system. The aim of this study was to characterize and determine the frequency of cardiovascular alterations by echocardiography in 2 age cohorts of Mexican patients with Marfan syndrome and their comparisons with control groups. MATERIAL AND METHODS: Sixty six with Marfan syndrome and 33 control patients were evaluated by echocardiography. Segments of the aorta and pulmonary artery were measured at different levels, cardiac valves were examined for prolapse and the interatrial septum was assessed for septal aneurysm. Numeric values were corrected for the body surface area and compared with the control group. RESULTS: Mean significant values between group I (children) and Group II (adults) were as follows: aortic annulus 16.62 +/- 4.57 mm/m2 vs 12.81 +/- 1.95 (p < 0.001), aortic root 23.30 +/- 7.49 mm/m2 vs 18.36 +/- 2.97 (p < 0.001), sinuses of Valsalva 24.14 +/- 7.29 mm/m2 vs 19.84 +/- 3.59 (p < 0.001), ascending aorta 18.43 +/- 5.90 mm/m2 vs 17.02 +/- 4.79 (p < 0.001), aortic arch 16.12 +/- 4.73 mm/m2 vs 14.20 +/- 2.68 (p < 0.001). Pulmonary valve prolapse was seen in 10/22 (45.5%) vs 7/44 (15.9%), p < or = 0.03. Interatrial septal aneurysm was found in 3/22 (13.6%) vs 20/44 (45.5%), p < or = 0.03. There was a significative diference in the presence of atrial septal aneurysm between the adult group and control group (p < 0.001). CONCLUSIONS: The incidence of cardiovascular abnormalities in our series is similar to that in the literature with the exception of the very high incidence of pulmonary valve prolapse vs control groups, then it suggests that the clinical manifestations of MFS are strikingly severe in the Mexican population. Also a high incidence of interatrial septal aneurysm (34.9%) in comparison to control groups (18.2%) was found.
Nilda Espinola-Zavaleta; J Miguel Casanova-Garcés; Luis Muñoz Castellanos; Federico Ibáñez; Candace Keirns; Luis M Amezcua-Guerra; Carlos Pineda-Villaseñor
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archivos de cardiología de México     Volume:  75     ISSN:  1405-9940     ISO Abbreviation:  Arch Cardiol Mex     Publication Date:    2005 Apr-Jun
Date Detail:
Created Date:  2005-09-05     Completed Date:  2006-01-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101126728     Medline TA:  Arch Cardiol Mex     Country:  Mexico    
Other Details:
Languages:  eng     Pagination:  133-40     Citation Subset:  IM    
Echocardiography-Consulta Externa Department, Instituto Nacional de Cardiologia Ignacio Chavez, México City, México.
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MeSH Terms
Cardiovascular Abnormalities / ultrasonography
Child, Preschool
Cohort Studies
Echocardiography, Doppler, Color*
Echocardiography, Transesophageal
Heart Valves / abnormalities,  ultrasonography
Marfan Syndrome / ultrasonography*
Middle Aged

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