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Aortic dissection in a patient with Turner syndrome: a case report

https://doi.org/10.15829/1560-4071-2025-6425

EDN: OUXIDK

Abstract

Introduction. Turner syndrome is a genetic disorder caused by complete or partial monosomy of the X chromosome. This disease is characterized by polymorphism of congenital malformations, with predominant involvement of the endocrine and cardiovascular systems. Patients with Turner syndrome demonstrate higher morbidity and mortality rates compared to the general population, which requires comprehensive interdisciplinary approach to their management.

Brief description. The article presents a case of a patient with verified Turner syndrome (45,X karyotype), who was diagnosed with intravital aortic dissection (DeBakey type III), which became possible due to a comprehensive examination. The work describes in detail the characteristic phenotypic manifestations, clinical performance and course, analysis of risk factors, applied diagnostic and treatment methods.

Discussion. The key task of managing patients with hereditary connective tissue disorders is to maintain a high level of clinical alertness among physicians of all specialties. It is critically important not only to recognize the specific risks associated with the genetic syndrome, but also to carefully assess potential trigger factors that can provoke vascular events. Expedited clinical suspicion and verification of life-threatening emergencies, including aortic dissection, require the selection of emergent therapeutic interventions and could reduce mortality.

About the Authors

D. S. Butenko
Regional Clinical Hospital № 2
Russian Federation

Tyumen


Competing Interests:

none



R. I. Alekberov
Regional Clinical Hospital № 2
Russian Federation

Tyumen


Competing Interests:

none



V. V. Spasennikov
Regional Clinical Hospital № 2
Russian Federation

Tyumen


Competing Interests:

none



T. M. Kleshchevnikova
Regional Clinical Hospital № 2
Russian Federation

Tyumen


Competing Interests:

none



A. Yu. Talybova
Regional Hospital № 19
Russian Federation

Tyumen


Competing Interests:

none



R. S. Talybov
Regional Clinical Hospital № 2; Tyumen State Medical University
Russian Federation

Tyumen


Competing Interests:

none



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Supplementary files

  • Turner syndrome is a genetic disorder characterized by polymorphism of congenital abnormalities with predominant involvement of the endocrine and cardiovascular systems, which necessitates comprehensive interdisciplinary management of patients.
  • A case of a 32-year-old patient with verified Turner syndrome and DeBakey type III aortic dissection, confirmed by paraclinical investigations, is presented.
  • Sustaining high clinical vigilance among physicians across all specialties regarding syndrome-specific risks and potential triggers of acute vascular events is critical for early detection of life-threatening conditions, prompt initiation of emergency interventions, and reduction of mortality.

Review

For citations:


Butenko D.S., Alekberov R.I., Spasennikov V.V., Kleshchevnikova T.M., Talybova A.Yu., Talybov R.S. Aortic dissection in a patient with Turner syndrome: a case report. Russian Journal of Cardiology. 2025;30(10S):6425. (In Russ.) https://doi.org/10.15829/1560-4071-2025-6425. EDN: OUXIDK

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)