When should a rare inherited connective tissue disorder be suspected in bicuspid aortic valve by primary-care internists
- PDF / 931,562 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 105 Downloads / 162 Views
IM - ORIGINAL
When should a rare inherited connective tissue disorder be suspected in bicuspid aortic valve by primary‑care internists and cardiologists? Proposal of a score Guglielmina Pepe1,2,3 · Betti Giusti1,3,4 · Stefania Colonna5 · Maria Pia Fugazzaro6 · Elena Sticchi1,3,4 · Rosina De Cario1,3,4 · Ada Kura1,3,4 · Elisa Pratelli7 · Daniela Melchiorre8 · Stefano Nistri6 Received: 30 April 2020 / Accepted: 21 July 2020 © The Author(s) 2020
Abstract Size threshold for aortic surgery in bicuspid aortic valve (BAV) is debated. Connective tissue disorders (CTDs) are claimed as a clinical turning point, suggesting early surgery in BAV patients with CTD. Thus, we aimed at developing a score to detect high risk of carrying CTDs in consecutive BAVs from primary care. Ninety-eight BAVs without ectopia lentis or personal/family history of aortic dissection were studied at the Marfan syndrome Tuscany Referral Center. Findings were compared with those detected in 84 Marfan patients matched for sex and age. We selected traits with high statistical difference between MFS and BAV easily obtainable by cardiologists and primary-care internists: mitral valve prolapse, myopia ≥ 3DO, pectus carenatum, pes planus, wrist and thumb signs, and difference between aortic size at root and ascending aorta ≥ 4 mm. Clustering of ≥ 3 of these manifestations were more frequent in Marfan patients than in BAVs (71.4% vs 6.1%, p
Data Loading...
