title: Cardiovascular assessment of patients with Ullrich-Turner's Syndrome on Doppler echocardiography and magnetic resonance imaging.
abstract: OBJECTIVE
  To assess the cardiovascular features of Ullrich-Turner's syndrome using echocardiography and magnetic resonance imaging, and to correlate them with the phenotype and karyotype of the patients. The diagnostic concordance between the 2 methods was also assessed.
  
  
  METHODS
  Fifteen patients with the syndrome were assessed by echocardiography and magnetic resonance imaging (cardiac chambers, valves, and aorta). Their ages ranged from 10 to 28 (mean of 16.7) years. The karyotype was analyzed in 11 or 25 metaphases of peripheral blood lymphocytes, or both.
  
  
  RESULTS
  The most common phenotypic changes were short stature and spontaneous absence of puberal development (100%); 1 patient had a cardiac murmur. The karyotypes detected were as follows: 45,X (n=7), mosaics (n=5), and deletions (n=3). No echocardiographic changes were observed. In regard to magnetic resonance imaging, coarctation and dilation of the aorta were found in 1 patient, and isolated dilation of the aorta was found in 4 patients.
  
  
  CONCLUSIONS
  The frequencies of coarctation and dilation of the aorta detected on magnetic resonance imaging were similar to those reported in the literature (5.5% to 20%, and 6.3% to 29%, respectively). This confirmed the adjuvant role of magnetic resonance imaging to Doppler echocardiography for diagnosing cardiovascular alterations in patients with Ullrich-Turner's syndrome.
authors.affiliation: Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, 18618-000, Brazil. Ana.Castro@cshs.org
authors.forename: Ana Valéria Barros de
authors.initials: AV
authors.lastname: Castro
authors.forename: Katashi
authors.initials: K
authors.lastname: Okoshi
authors.forename: Sérgio Marrone
authors.initials: SM
authors.lastname: Ribeiro
authors.forename: Maurício Fregonesi
authors.initials: MF
authors.lastname: Barbosa
authors.forename: Patricia Ferreira
authors.initials: PF
authors.lastname: Mattos
authors.forename: Luciana
authors.initials: L
authors.lastname: Pagliare
authors.forename: Nancy Figueiredo
authors.initials: NF
authors.lastname: Bueno
authors.forename: Débora Aparecida
authors.initials: DA
authors.lastname: Rodrigueiro
authors.forename: Adriana Lúcia Mendes
authors.initials: AL
authors.lastname: Haddad
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D015150:Echocardiography, Doppler / Q000379:methods*; D005260:Female; D006801:Humans; D007621:Karyotyping; D008279:Magnetic Resonance Imaging / Q000379:methods*; D010641:Phenotype; D014424:Turner Syndrome / Q000175:diagnosis / Q000235:genetics / Q000503:physiopathology*