2024, Number 4
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Acta Pediatr Mex 2024; 45 (4)
Aortic pathology and congenital heart disease in children and adolescents with Marfan, Loeys-Dietz and Ehlers-Danlos syndrome. Cases series
De Rubens FJ, García CA, González RC, Lieberman HE, Díaz GL
Language: Spanish
References: 22
Page: 286-293
PDF size: 373.58 Kb.
ABSTRACT
Objective: To describe our experience in the cardiovascular characteristics and clinical
evolution of patients with MS, ED and LD.
Materials and Methods: Patient records from the last 10 years were reviewed
in a cross-sectional, observational and retrospective study. The diagnosis was made
with family history and Ghent clinical criteria. Cardiac characteristics, treatment and
clinical criteria. Cardiac characteristics, treatment and clinical behavior were analyzed.
Percentages and frequencies are made.
Results: Thirty patients with SM, 18 with ED and 3 with LD (51 patients) were
studied. The male gender predominated and the age ranged between 1 and 17 years
of age. Patients with SM had 50% of family history, with LD 66% and with ED 44%.
Cardiovascular alterations occurred in patients with MS in 73%, the most frequent
being dilation of the aortic root. 66.6% patients with LD had vascular disease. Treatment
was based on losartan and propranolol. None were managed with cardiovascular
surgery. Follow-up ranged from 6 months to 9 years. The majority had no cardiovascular
Conclusions: In patients with SM and LD, cardiovascular disease is common in
children and adolescents. It is advisable to continue cardiovascular monitoring and
early treatment.
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