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Unicuspid Aortic Valve and Aortic Arch Aneurysm in a Patient with Turner Syndrome

Department of Internal Medicine
¹ Department of Cardiology
² Department of Cardiothoracic Surgery Pittsburgh, USA

For reprint information contact: Sandeep Arora, MD Tel: 1 412 578 6929 Fax: 1 412 578 6804 Email: sandeeparora24@hotmail.com, Western Pennsylvania Hospital/Temple University Program, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.

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A 45-years-old female with Turner syndrome, hypertension and aortic stenosis presented to the hospital with recurrent episodes of dizziness and chest pain. Examination revealed short stature, webbed neck and low posterior hairline, pulse rate of 84·beat^–1, blood pressure of 126/84 mm Hg and bilateral carotid bruits. Cardiac auscultation revealed grade 3/6 ejection systolic murmur heard throughout the precordium. Transthoracic echocardiogram was remarkable for severe aortic stenosis with peak aortic valve gradient of 80 mm Hg and calculated valve area of 0.7 cm². Trans-esophageal echocardiogram showed a unicommissural unicuspid aortic valve with an . . . [Full Text of this Article]