Aortic dissection in osteogenesis imperfecta: case report and review of the literature

@article{McNeeley2012AorticDI,
  title={Aortic dissection in osteogenesis imperfecta: case report and review of the literature},
  author={Michael F. McNeeley and Brian N Dontchos and Michael A. Laflamme and Michael J Hubka and Claudia T. Sadro},
  journal={Emergency Radiology},
  year={2012},
  volume={19},
  pages={553-556}
}
Osteogenesis imperfecta (OI) is a group of hereditary connective tissue disorders affecting the biosynthesis of type I collagen [1, 2]. Although there is considerable phenotypic heterogeneity, the clinical hallmark of OI is osseous fragility with predisposition for fracture. Its extraskeletal manifestations often involve other collagen-rich structures, such as the skin, sclerae, dentition, middle and inner ear, tendons, and ligaments [2, 3]. Less commonly, the cardiovascular system may be… Expand
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The clinical and molecular characteristics of three new OI patients and one additional patient with a first degree relative who presented with aortic dissection and/or aneurysm surgery are reported on to open up the discussion on the need for and extent of cardiovascular screening in adult patients with OI. Expand
Case report: osteogenesis imperfecta, internal mammary artery graft & nitinol clips
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TLDR
It is biologically plausible that patients with OI may have an increased risk of developing heart disease, and valve disease in particular, and the findings support the hypothesis that patientswith OI have increasedrisk of heart disease compared to healthy controls. Expand
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
The state of the art with respect to characterization of connective fibre microstructure in the wall of the human aorta in ageing and disease is summarized, with emphasis on the ascending thoracic aorti and abdominal aortas where the most common forms of aortic disease tend to occur. Expand
Radiotherapy Late Effects and Osteogenesis Imperfecta: Dos and Don'ts in Clinical Practice
TLDR
This work presents two cases of radiotherapy in patients with OI, measured the effects of radiation on their bone mineral density and provides clinical recommendations for patient tailored radiotherapy strategies in patientswith OI. Expand
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References

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Osteogenesis imperfecta and aortic dissection.
TLDR
There is strong evidence that special efforts are required because of the fragility of tissues and propensity for bleeding in those with OI, and reinforcement of any vascular suture line should be considered to reduce failure and bleeding. Expand
Aortic dissection: a rare complication of osteogenesis imperfecta.
TLDR
A 65-year-old man with OI who had extensive prior successful cardiac valve surgeries is described, who died of multiorgan failure and sepsis after repair of a spontaneous type A aortic dissection secondary to OI. Expand
[Osteogenesis imperfecta and aortic incompetence. One case with pathological findings. Review of the literature (author's transl)].
TLDR
Histological findings of Lobstein's disease are similar to those observed in Marfan's syndrome and osteogenesis imperfecta, which justifies the use of valve heterografts not requiring antivitamin K administration. Expand
Valvular heart disease in osteogenesis imperfecta.
TLDR
In evaluating patients with osteogenesis imperfecta, careful attention should be paid to cardiovascular findings and if valvular lesions are noted, patients should be instructed regarding the need for antibiotic prophylaxis for dental and surgical procedures. Expand
Cardiovascular involvement in osteogenesis imperfecta.
TLDR
Aortic root dilatation appears to represent a distinct phenotypic trait in patients with OI that is nonprogressive and occurs in about 12% of affected individuals, which is different from that seen in a normal adult population. Expand
Cardiovascular Abnormalities in Osteogenesis Imperfecta
TLDR
It is suggested that in osteogenesis imperfecta, as in other heritable disorders of connective tissue, cardiovascular defects may become apparent after the passage of time and play a dominant role in the natural history of the disease process. Expand
Type I aortic dissection in a patient with osteogenesis imperfecta.
TLDR
The previously undescribed association between aortic dissection and osteogenesis imperfecta is reported in a 39-year-old man with known osteogenesis perfecta, who presented with a type I aorta dissection, which resulted in massive myocardial infarction of the left ventricle. Expand
Genetic heterogeneity in osteogenesis imperfecta.
An epidemiological and genetical study of osteogenesis imperfecta (OI) in Victoria, Australia confirmed that there are at least four distinct syndromes at present called OI. The largest group ofExpand
Mitral valve disease and open heart surgery in osteogenesis imperfecta tarda.
TLDR
Surgery carried out on patients with osteogenesis imperfecta is liable to be complicated by severe postoperative problems; and cardiopulmonary bypass and mitral valve surgery have not previously been described in such patients. Expand
Successful aortocoronary bypass in osteogenesis imperfecta.
TLDR
Although successful aortocoronary bypass surgery had not been previously reported in osteogenesis imperfecta, this patient received such surgery with therapeutic benefit and coronary artery vascularization should be considered as a safe and effective treatment modality. Expand
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