JACC. Case reports · 2026
Aortic Root Dilation in a Masters Dressage Athlete With Familial TAAD.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
El Hri Hiba, Daems Joelle J N, van Diepen Maarten A, Verwijs Sjoerd M, Groenink Maarten, Moen Maarten M, Bijsterveld Nick R, Jørstad Harald T
Аннотация
BACKGROUND: Familial thoracic aortic aneurysm and dissection is a genetic condition frequently presenting without syndromic features or early symptoms, and it often warrants restrictive sports advice.
CASE SUMMARY: A masters dressage rider presented with palpitations and atypical thoracic discomfort. Cardiac magnetic imaging revealed an aortic root of 47 mm. Genetic testing confirmed a pathogenic class V LTBP3 variant consistent with familial thoracic aortic aneurysm and dissection. Although prophylactic surgery was considered given subsequent growth to 49 mm, continued surveillance was chosen after shared decision-making, as the aortic root diameter did not reach the surgical threshold and remained stable during 5 years of follow-up. The patient competed in multiple international competitions, without evidence of accelerated root growth.
DISCUSSION: Dressage is unlikely to contribute to aortic root progression in genetically predisposed athletes.
TAKE-HOME MESSAGE: In athletes, decisions about timing of intervention should consider sport-specific hemodynamic demands and force distribution, aortic dimensions and growth, symptom burden, and athlete ambitions and goals.
CASE SUMMARY: A masters dressage rider presented with palpitations and atypical thoracic discomfort. Cardiac magnetic imaging revealed an aortic root of 47 mm. Genetic testing confirmed a pathogenic class V LTBP3 variant consistent with familial thoracic aortic aneurysm and dissection. Although prophylactic surgery was considered given subsequent growth to 49 mm, continued surveillance was chosen after shared decision-making, as the aortic root diameter did not reach the surgical threshold and remained stable during 5 years of follow-up. The patient competed in multiple international competitions, without evidence of accelerated root growth.
DISCUSSION: Dressage is unlikely to contribute to aortic root progression in genetically predisposed athletes.
TAKE-HOME MESSAGE: In athletes, decisions about timing of intervention should consider sport-specific hemodynamic demands and force distribution, aortic dimensions and growth, symptom burden, and athlete ambitions and goals.