Coronary anatomy in Turner syndrome versus patients with isolated bicuspid aortic valves
Heart, ISSN: 1468-201X, Vol: 105, Issue: 9, Page: 701-707
2019
- 8Citations
- 19Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations8
- Citation Indexes8
- CrossRef8
- Captures19
- Readers19
- 19
Article Description
Objective Variations in coronary anatomy, like absent left main stem and left dominant coronary system, have been described in patients with Turner syndrome (TS) and in patients with bicuspid aortic valves (BAV). It is unknown whether coronary variations in TS are related to BAV and to specific BAV subtypes. Aim To compare coronary anatomy in patients with TS with/without BAV versus isolated BAV and to study BAV morphology subtypes in these groups. Methods Coronary anatomy and BAV morphology were studied in 86 patients with TS (20 TS-BAV, 66 TS-tricuspid aortic valve) and 86 patients with isolated BAV (37±13 years vs 42±15 years, respectively) by CT. Results There was no significant difference in coronary dominance between patients with TS with and without BAV (25% vs 21%, p=0.933). BAVs with fusion of right and left coronary leaflets (RL BAV) without raphe showed a high prevalence of left coronary dominance in both TS-BAV and isolated BAV (both 38%). Absent left main stem was more often seen in TS-BAV as compared with isolated BAV (10% vs 0%). All patients with TS-BAV with absent left main stem had RL BAV without raphe. Conclusion The equal distribution of left dominance in RL BAV without raphe in TS-BAV and isolated BAV suggests that presence of left dominance is a feature of BAVs without raphe, independent of TS. Both TS and RL BAV without raphe seem independently associated with absent left main stems. Awareness of the higher incidence of particularly absent left main stems is important to avoid complications during hypothermic perfusion.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85055668705&origin=inward; http://dx.doi.org/10.1136/heartjnl-2018-313724; http://www.ncbi.nlm.nih.gov/pubmed/30368485; https://heart.bmj.com/lookup/doi/10.1136/heartjnl-2018-313724; https://dx.doi.org/10.1136/heartjnl-2018-313724; https://heart.bmj.com/content/105/9/701; https://heart.bmj.com/content/105/9/701.full.pdf; https://heart.bmj.com/content/105/9/701.abstract; https://heart.bmj.com/content/heartjnl/105/9/701.full.pdf; https://heart.bmj.com/content/105/9/701.long; https://heart.bmj.com/content/early/2018/10/27/heartjnl-2018-313724; https://heart.bmj.com/content/105/9/701.full; https://heart.bmj.com/content/105/9/701.short
BMJ
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