Poster électronique

Evaluation cardiovasculaire du syndrome de Turner
R. Boughrarou, S. Ayat, B. Mansouri - Alger - Algérie
Congrès 2011
Résumé
Objectifs
Le syndrome de Turner est une affection génétique rare liée à l’absence totale ou partielle d’un chromosome x, affectant 1/2500 nouveau-né de sexe féminin. L’existence d’anomalies cardiovasculaires congénitales est bien connue au cours de ce syndrome, plus fréquente dans les séries où le bilan associe à l’échocardiographie, une IRM.
Matériels et méthodes
Nous avons réalisé une étude prospective dont l’objectif était d’évaluer l’incidence des anomalies cardiaques dans le syndrome de Turner et de souligner l’apport particulier de l’IRM dans le dépistage de ces anomalies. 24 turnériennes de 22 ans d’âge moyen ont étéévaluées par échocardiographie et par IRM.
Résultats
L’écho était normale dans 83% des cas, l’IRM dans 45%. L’anomalie la plus fréquemment détectée par l’IRM était la coarctation aortique (20%), tandis que l’écho n’a révélé que la bicuspidie. L’échocardiographie avait ignoré 76% des malformations révélées par l’IRM.
Conclusion
L’incidence des anomalies cardiovasculaires est élevée dans le syndrome de Turner. Intérêt démontré de l’IRM dans leur dépistage, ainsi que sa supériorité par rapport à l’échocardiographie.
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2011-10-22 10.16 :
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