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Turner – annual echo for aortic root — RACP Paediatrics MCQ

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ModerateCardiologyTurner – annual echo for aortic rootRACP Paediatrics

A 10-year-old with Turner syndrome has a bicuspid aortic valve on echocardiography. Aortic root dimensions are currently normal. How often should cardiac surveillance be performed?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Annual echocardiography

Turner syndrome patients with a bicuspid aortic valve require regular echocardiographic surveillance (annually or as determined by cardiology) to monitor for progressive aortic root dilatation and aortic valve dysfunction. Turner syndrome carries an increased lifetime risk of aortic dissection. BP control and exercise advice are also important.

Reference: RCH Melbourne – 2023 – Turner Syndrome CPG; RACP Paediatric Curriculum – Endocrine/Cardiology