title: Unreliability of aortic size index to predict risk of aortic dissection in a patient with Turner syndrome.
abstract: Aortic size index (ASI) has been proposed as a reliable criterion to predict risk for aortic dissection in Turner syndrome with significant thresholds of 20-25 mm/m(2). We report a case of aortic arch dissection in a patient with Turner syndrome who, from the ASI thresholds proposed, was deemed to be at low risk of aortic dissection or rupture and was not eligible for prophylactic surgery. This case report strongly supports careful monitoring and surgical evaluation even when the ASI is < 20 mm/m(2) if other significant risk factors are present.
authors.affiliation: Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
authors.forename: Jan
authors.initials: J
authors.lastname: Nijs
authors.affiliation: Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
authors.forename: Sandro
authors.initials: S
authors.lastname: Gelsomino
authors.affiliation: Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Lucà
authors.affiliation: Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
authors.forename: Orlando
authors.initials: O
authors.lastname: Parise
authors.affiliation: Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
authors.forename: Jos G
authors.initials: JG
authors.lastname: Maessen
authors.affiliation: Jan Nijs, Mark La Meir, Cardiothoracic Surgery, University Hospital, 1090 Brussels, Belgium.
authors.forename: Mark La
authors.initials: ML
authors.lastname: Meir
keywords: Aortic aneurysm; Aortic dissection; Turner syndrome