Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations

S Veldhoen; V Stark; Götz Müller; T Derlin; T A Bley; J Weil; Yskert Kodolitsch; T S Mir

doi:10.1055/s-0033-1350421

Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations

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Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations. / Veldhoen, S; Stark, V; Müller, Götz; Derlin, T; Bley, T A; Weil, J; Kodolitsch, Yskert; Mir, T S.

In: ROFO-FORTSCHR RONTG, Vol. 186, No. 1, 01.01.2014, p. 61-6.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Veldhoen, S, Stark, V, Müller, G, Derlin, T, Bley, TA, Weil, J, Kodolitsch, Y & Mir, TS 2014, 'Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations', ROFO-FORTSCHR RONTG, vol. 186, no. 1, pp. 61-6. https://doi.org/10.1055/s-0033-1350421

APA

Veldhoen, S., Stark, V., Müller, G., Derlin, T., Bley, T. A., Weil, J., Kodolitsch, Y., & Mir, T. S. (2014). Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations. ROFO-FORTSCHR RONTG, 186(1), 61-6. https://doi.org/10.1055/s-0033-1350421

Vancouver

Veldhoen S, Stark V, Müller G, Derlin T, Bley TA, Weil J et al. Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations. ROFO-FORTSCHR RONTG. 2014 Jan 1;186(1):61-6. https://doi.org/10.1055/s-0033-1350421

Bibtex

@article{f964673921f44684bedfc5dbf7916556,

title = "Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations",

abstract = "PURPOSE: Marfan syndrome (MFS) is a genetic disorder of the connective tissue. Aortic root dilation is a main criterion of the Ghent Nosology. Dural ectasia and the presence of mitral valve prolapse (MVP) contribute to its systemic score. The purpose of this study was to investigate the frequency of dural ectasia and its correlation with cardiovascular manifestations in a pediatric study population.PATIENTS AND METHODS: 119 pediatric patients with confirmed or suspected MFS were examined in the local Marfan Clinic. 31 children with MFS who underwent magnetic resonance imaging (MRI) were included. Each patient was evaluated according to the Ghent nosology. Echocardiography was used to measure the aortic root diameter and assess the presence of MVP and mitral regurgitation. Z-scores were calculated for the evaluation of the aortic root diameters. MRI was performed to determine the dural sac ratio (DSR).RESULTS: The prevalence of dural ectasia was 90.3 %, of aortic root dilation 32.2 %, of MVP 64.5 % and of mitral regurgitation 51.6 %. DSR at L5 correlated with the intraindividual z-scores (slope, 3.62 ± 1.5 [0.56; 6.68]; r = 0.17; p = 0.02; F = 5.84). Z-scores ≥ 2 were accompanied by dural ectasia in 100 %, MVP in 95 % and mitral regurgitation in 100 % of cases. MVP was accompanied by mitral regurgitation in 70 % of cases.CONCLUSION: As the examined cardiac manifestations show a coincidence with dural ectasia in 95 - 100 % of cases, MRI for diagnostic dural sac imaging should be reserved for MFS suspicions with the absence of those manifestations in order to establish the diagnosis according to the Ghent criteria. Thus, the present study supports the recent downgrading of dural ectasia to a contributor to the systemic score.",

keywords = "Adolescent, Cardiovascular Diseases, Child, Child, Preschool, Comorbidity, Dura Mater, Female, Germany, Humans, Incidence, Infant, Magnetic Resonance Imaging, Male, Marfan Syndrome, Reproducibility of Results, Risk Factors, Sensitivity and Specificity, Statistics as Topic",

author = "S Veldhoen and V Stark and G{\"o}tz M{\"u}ller and T Derlin and Bley, {T A} and J Weil and Yskert Kodolitsch and Mir, {T S}",

note = "{\textcopyright} Georg Thieme Verlag KG Stuttgart · New York.",

year = "2014",

month = jan,

day = "1",

doi = "10.1055/s-0033-1350421",

language = "English",

volume = "186",

pages = "61--6",

journal = "ROFO-FORTSCHR RONTG",

issn = "1438-9029",

publisher = "Georg Thieme Verlag KG",

number = "1",

}

RIS

TY - JOUR

T1 - Pediatric patients with Marfan Syndrome: frequency of dural ectasia and its correlation with common cardiovascular manifestations

AU - Veldhoen, S

AU - Stark, V

AU - Müller, Götz

AU - Derlin, T

AU - Bley, T A

AU - Weil, J

AU - Kodolitsch, Yskert

AU - Mir, T S

N1 - © Georg Thieme Verlag KG Stuttgart · New York.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - PURPOSE: Marfan syndrome (MFS) is a genetic disorder of the connective tissue. Aortic root dilation is a main criterion of the Ghent Nosology. Dural ectasia and the presence of mitral valve prolapse (MVP) contribute to its systemic score. The purpose of this study was to investigate the frequency of dural ectasia and its correlation with cardiovascular manifestations in a pediatric study population.PATIENTS AND METHODS: 119 pediatric patients with confirmed or suspected MFS were examined in the local Marfan Clinic. 31 children with MFS who underwent magnetic resonance imaging (MRI) were included. Each patient was evaluated according to the Ghent nosology. Echocardiography was used to measure the aortic root diameter and assess the presence of MVP and mitral regurgitation. Z-scores were calculated for the evaluation of the aortic root diameters. MRI was performed to determine the dural sac ratio (DSR).RESULTS: The prevalence of dural ectasia was 90.3 %, of aortic root dilation 32.2 %, of MVP 64.5 % and of mitral regurgitation 51.6 %. DSR at L5 correlated with the intraindividual z-scores (slope, 3.62 ± 1.5 [0.56; 6.68]; r = 0.17; p = 0.02; F = 5.84). Z-scores ≥ 2 were accompanied by dural ectasia in 100 %, MVP in 95 % and mitral regurgitation in 100 % of cases. MVP was accompanied by mitral regurgitation in 70 % of cases.CONCLUSION: As the examined cardiac manifestations show a coincidence with dural ectasia in 95 - 100 % of cases, MRI for diagnostic dural sac imaging should be reserved for MFS suspicions with the absence of those manifestations in order to establish the diagnosis according to the Ghent criteria. Thus, the present study supports the recent downgrading of dural ectasia to a contributor to the systemic score.

AB - PURPOSE: Marfan syndrome (MFS) is a genetic disorder of the connective tissue. Aortic root dilation is a main criterion of the Ghent Nosology. Dural ectasia and the presence of mitral valve prolapse (MVP) contribute to its systemic score. The purpose of this study was to investigate the frequency of dural ectasia and its correlation with cardiovascular manifestations in a pediatric study population.PATIENTS AND METHODS: 119 pediatric patients with confirmed or suspected MFS were examined in the local Marfan Clinic. 31 children with MFS who underwent magnetic resonance imaging (MRI) were included. Each patient was evaluated according to the Ghent nosology. Echocardiography was used to measure the aortic root diameter and assess the presence of MVP and mitral regurgitation. Z-scores were calculated for the evaluation of the aortic root diameters. MRI was performed to determine the dural sac ratio (DSR).RESULTS: The prevalence of dural ectasia was 90.3 %, of aortic root dilation 32.2 %, of MVP 64.5 % and of mitral regurgitation 51.6 %. DSR at L5 correlated with the intraindividual z-scores (slope, 3.62 ± 1.5 [0.56; 6.68]; r = 0.17; p = 0.02; F = 5.84). Z-scores ≥ 2 were accompanied by dural ectasia in 100 %, MVP in 95 % and mitral regurgitation in 100 % of cases. MVP was accompanied by mitral regurgitation in 70 % of cases.CONCLUSION: As the examined cardiac manifestations show a coincidence with dural ectasia in 95 - 100 % of cases, MRI for diagnostic dural sac imaging should be reserved for MFS suspicions with the absence of those manifestations in order to establish the diagnosis according to the Ghent criteria. Thus, the present study supports the recent downgrading of dural ectasia to a contributor to the systemic score.

KW - Adolescent

KW - Cardiovascular Diseases

KW - Child

KW - Child, Preschool

KW - Comorbidity

KW - Dura Mater

KW - Female

KW - Germany

KW - Humans

KW - Incidence

KW - Infant

KW - Magnetic Resonance Imaging

KW - Male

KW - Marfan Syndrome

KW - Reproducibility of Results

KW - Risk Factors

KW - Sensitivity and Specificity

KW - Statistics as Topic

U2 - 10.1055/s-0033-1350421

DO - 10.1055/s-0033-1350421

M3 - SCORING: Journal article

C2 - 24043612

VL - 186

SP - 61

EP - 66

JO - ROFO-FORTSCHR RONTG

JF - ROFO-FORTSCHR RONTG

SN - 1438-9029

IS - 1

ER -