Abstract
The cardiovascular findings in 9 patients with Turner's syndrome and 9 patients with Noonan's syndrome are described. Of the 9 patients with Turner's syndrome, 4 had coarctation of the aorta, 4 aorta stenosis, and the remaining patient both these lesions. All patients with Noonan's syndrome had pulmonary valve stenosis. In addition, 2 children had an atrial septal defect and 1 an atrial septal defect associated with mild supravalvar pulmonary stenosis and anomalous drainage of the right upper pulmonary veins. In the majority of patients the electrocardiogram was different from the pattern usually seen in pulmonary valve stenosis: the QRS axis in the frontal plane was superiorly oriented in 7 out of 9 cases and in 2 patients evidence of right ventricular hypertrophy was lacking in the right praecordial leads; in 5 patients an rS complex was seen in the left praecordial leads. Gross thickening of pulmonary valve cusps was found at operation in 4 of the 8 patients who were operated on. Although phenotypically related, Turner's and Noonan's syndromes are associated with different and distinct cardiovascular anomalies.
Full text
PDF









Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beçu L., Somerville J., Gallo A. 'Isolated' pulmonary valve stenosis as part of more widespread cardiovascular disease. Br Heart J. 1976 May;38(5):472–482. doi: 10.1136/hrt.38.5.472. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Celermajer J. M., Bowdler J. D., Cohen D. H. Pulmonary stenosis in patients with the Turner phenotype in the male. Am J Dis Child. 1968 Oct;116(4):351–358. doi: 10.1001/archpedi.1968.02100020355002. [DOI] [PubMed] [Google Scholar]
- Dupuis C., Nuyts J. P., Maillard E., Bouvier C., Lefebvre P., Fontaine G., Gaudier B. Les syndrome dit de "Turner mâle" (à propos de 6 observations) Arch Fr Pediatr. 1968 May;25(5):511–530. [PubMed] [Google Scholar]
- Ehlers K. H., Engle M. A., Levin A. R., Deely W. J. Eccentric ventricular hypertrophy in familial and sporadic instances of 46 XX, XY Turner phenotype. Circulation. 1972 Mar;45(3):639–652. doi: 10.1161/01.cir.45.3.639. [DOI] [PubMed] [Google Scholar]
- Emerit I., de Grouchy J., Vernant P., Corone P. Chromosomal abnormalities and congenital heart disease. Circulation. 1967 Dec;36(6):886–905. doi: 10.1161/01.cir.36.6.886. [DOI] [PubMed] [Google Scholar]
- FORD C. E., JONES K. W., POLANI P. E., DE ALMEIDA J. C., BRIGGS J. H. A sex-chromosome anomaly in a case of gonadal dysgenesis (Turner's syndrome). Lancet. 1959 Apr 4;1(7075):711–713. doi: 10.1016/s0140-6736(59)91893-8. [DOI] [PubMed] [Google Scholar]
- HADDAD H. M., WILKINS L. Congenital anomalies associated with gonadal aplasia; review of 55 cases. Pediatrics. 1959 May;23(5):885–902. [PubMed] [Google Scholar]
- Hirsch H. D., Gelband H., Garcia O., Gottlieb S., Tamer D. M. Rapidly progressive obstructive cardiomyopathy in infants with Noonan's syndrome. Report of two cases. Circulation. 1975 Dec;52(6):1161–1165. doi: 10.1161/01.cir.52.6.1161. [DOI] [PubMed] [Google Scholar]
- KOSTICH N. D., OPITZ J. M. ULLRICH-TURNER SYNDROME ASSOCIATED WITH CYSTIC MEDIAL NECROSIS OF THE AORTA AND GREAT VESSELS: CASE REPORT AND REVIEW OF THE LITERATURE. Am J Med. 1965 Jun;38:943–950. doi: 10.1016/0002-9343(65)90014-8. [DOI] [PubMed] [Google Scholar]
- Koretzky E. D., Moller J. H., Korns M. E., Schwartz C. J., Edwards J. E. Congenital pulmonary stenosis resulting from dysplasia of valve. Circulation. 1969 Jul;40(1):43–53. doi: 10.1161/01.cir.40.1.43. [DOI] [PubMed] [Google Scholar]
- LEMLI L., SMITH D. W. THE XO SYNDROME. A STUDY OF THE DIFFERENTIATED PHENOTYPE IN 25 PATIENTS. J Pediatr. 1963 Oct;63:577–588. doi: 10.1016/s0022-3476(63)80368-6. [DOI] [PubMed] [Google Scholar]
- Linde L. M., Turner S. W., Sparkes R. S. Pulmonary valvular dysplasia. A cardiofacial syndrome. Br Heart J. 1973 Mar;35(3):301–304. doi: 10.1136/hrt.35.3.301. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Noonan J. A. Hypertelorism with Turner phenotype. A new syndrome with associated congenital heart disease. Am J Dis Child. 1968 Oct;116(4):373–380. doi: 10.1001/archpedi.1968.02100020377005. [DOI] [PubMed] [Google Scholar]
- Nora J. J., Lortscher R. H., Spangler R. D. Echocardiographic studies of left ventricular disease in Ullrich-Noonan syndrome. Am J Dis Child. 1975 Dec;129(12):1417–1420. doi: 10.1001/archpedi.1975.02120490031010. [DOI] [PubMed] [Google Scholar]
- Nora J. J., Nora A. H., Sinha A. K., Spangler R. D., Lubs H. A. The Ullrich-Noonan syndrome (Turner phenotype). Am J Dis Child. 1974 Jan;127(1):48–55. doi: 10.1001/archpedi.1974.02110200050007. [DOI] [PubMed] [Google Scholar]
- Nora J. J., Torres F. G., Sinha A. K., McNamara D. G. Characteristic cardiovascular anomalies of XO Turner syndrome, XX and XY phenotype and XO-XX Turner mosaic. Am J Cardiol. 1970 Jun;25(6):639–641. doi: 10.1016/0002-9149(70)90612-0. [DOI] [PubMed] [Google Scholar]
- POLANI P. E., LESSOF M. H., BISHOP P. M. Colour-blindness in ovarian agenesis (gonadal dysplasia). Lancet. 1956 Jul 21;271(6934):118–120. doi: 10.1016/s0140-6736(56)90865-0. [DOI] [PubMed] [Google Scholar]
- Phornphutkul C., Rosenthal A., Nadas A. S. Cardiomyopathy in Noonan's syndrome. Report of 3 cases. Br Heart J. 1973 Jan;35(1):99–102. doi: 10.1136/hrt.35.1.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
- RAINIER-POPE C. R., CUNNINGHAM R. D., NADAS A. S., CRIGLER J. F., Jr CARDIOVASCULAR MALFORMATION IN TURNER'S SYNDROME. Pediatrics. 1964 Jun;33:919–925. [PubMed] [Google Scholar]
- Siggers D. C., Polani P. E. Congenital heart disease in male and female subjects with somatic features of Turner's syndrome and normal sex chromosomes (Ullrich's and related syndromes). Br Heart J. 1972 Jan;34(1):41–46. doi: 10.1136/hrt.34.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Towne W. D., Fabian J. S., Rosen K. M., Rahimtoola S. H. Systolic prolapse of the mitral valve in Noonan's syndrome. Am Heart J. 1975 Oct;90(4):499–502. doi: 10.1016/0002-8703(75)90432-9. [DOI] [PubMed] [Google Scholar]
- Vernant P., Corone P., de Grouchy J., de Gennes J. L., Emerit I. Le coeur dans le syndrome de Turner-Ullrich. (Etude de 26 cas personnels et revue des observations comportant une étude chromosomique) Arch Mal Coeur Vaiss. 1966 Jun;59(6):850–875. [PubMed] [Google Scholar]
- Wright N. L., Summitt R. L., Ainger L. E. Noonan's syndrome and Ebstein's malformation of the tricuspid valve. Am J Dis Child. 1968 Oct;116(4):367–372. doi: 10.1001/archpedi.1968.02100020371004. [DOI] [PubMed] [Google Scholar]