Echocardiographic findings in classical and hypermobile Ehlers-Danlos syndromes

Nazli B. McDonnell, Beverly L. Gorman, Katherine W. Mandel, Shepherd H. Schurman, Alison Assanah-Carroll, Susan A Mayer, Samer S. Najjar, Clair Ann Francomano

Research output: Contribution to journalArticle

Abstract

Structural cardiovascular alterations in the classical and hypermobile forms of Ehlers-Danlos syndrome(EDS) warrant investigation. We have examined a cohort of 38 patients with hypermobile and classical EDSs using two-dimensional echocardiography. The cohort includes 7 males and 31 females, with an age range from 12-60 years. Altered echocardiographic parameters were seen in the initial cross-sectional data analysis in 24/38 patients. Five of the 38 participants had mildly dilated aortic root (AR) or sinuses of Valsalva (SV), and an additional 7 patients had an abnormal pouching of the SV, although the absolute dimensions did not exceed the normal range. Ten patients had mild mitral, tricuspid, or aortic regurgitation, and only one patient had mitral valve prolapse (MVP). Three patients had low normal systolic function; three had evidence of mildly elevated pulmonary pressures, and two patients had mild concentric left ventricular hypertrophy (LVH). Five patients had evidence of impaired left ventricular relaxation (LVR) based on mitral valve E to A velocity ratio. Interestingly, 26/38 subjects demonstrated a prominent right coronary artery (RCA) easily visualized by trans-thoracic echocardiography, and 10/38 had an elongated cardiac silhouette on the 4-chamber apical views. The "pouching" shape of the SV was more common in hypermobile type than in the classical type of EDS. The study is ongoing and will accrue longitudinal data on 100 subjects with classical and hypermobile EDSs at 2-year intervals.

Original languageEnglish (US)
Pages (from-to)129-136
Number of pages8
JournalAmerican Journal of Medical Genetics
Volume140 A
Issue number2
DOIs
StatePublished - Jan 15 2006

Fingerprint

Ehlers-Danlos Syndrome
Sinus of Valsalva
Echocardiography
Tricuspid Valve Insufficiency
Mitral Valve Prolapse
Aortic Valve Insufficiency
Mitral Valve Insufficiency
Left Ventricular Hypertrophy
Mitral Valve
Coronary Vessels
Reference Values
Thorax
Cross-Sectional Studies
Pressure
Lung

Keywords

  • Aorta
  • Echocardiography
  • Ehlers-Danlos syndromes
  • Impaired left ventricular relaxation

ASJC Scopus subject areas

  • Genetics(clinical)

Cite this

McDonnell, N. B., Gorman, B. L., Mandel, K. W., Schurman, S. H., Assanah-Carroll, A., Mayer, S. A., ... Francomano, C. A. (2006). Echocardiographic findings in classical and hypermobile Ehlers-Danlos syndromes. American Journal of Medical Genetics, 140 A(2), 129-136. https://doi.org/10.1002/ajmg.a.31035

Echocardiographic findings in classical and hypermobile Ehlers-Danlos syndromes. / McDonnell, Nazli B.; Gorman, Beverly L.; Mandel, Katherine W.; Schurman, Shepherd H.; Assanah-Carroll, Alison; Mayer, Susan A; Najjar, Samer S.; Francomano, Clair Ann.

In: American Journal of Medical Genetics, Vol. 140 A, No. 2, 15.01.2006, p. 129-136.

Research output: Contribution to journalArticle

McDonnell, NB, Gorman, BL, Mandel, KW, Schurman, SH, Assanah-Carroll, A, Mayer, SA, Najjar, SS & Francomano, CA 2006, 'Echocardiographic findings in classical and hypermobile Ehlers-Danlos syndromes', American Journal of Medical Genetics, vol. 140 A, no. 2, pp. 129-136. https://doi.org/10.1002/ajmg.a.31035
McDonnell NB, Gorman BL, Mandel KW, Schurman SH, Assanah-Carroll A, Mayer SA et al. Echocardiographic findings in classical and hypermobile Ehlers-Danlos syndromes. American Journal of Medical Genetics. 2006 Jan 15;140 A(2):129-136. https://doi.org/10.1002/ajmg.a.31035
McDonnell, Nazli B. ; Gorman, Beverly L. ; Mandel, Katherine W. ; Schurman, Shepherd H. ; Assanah-Carroll, Alison ; Mayer, Susan A ; Najjar, Samer S. ; Francomano, Clair Ann. / Echocardiographic findings in classical and hypermobile Ehlers-Danlos syndromes. In: American Journal of Medical Genetics. 2006 ; Vol. 140 A, No. 2. pp. 129-136.
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