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Obstructive Sleep Apnea, Palatal Morphology, and Aortic Dilatation in Marfan Syndrome Growing Subjects: A Retrospective Study

Author

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  • Giuseppina Laganà

    (Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Nicolò Venza

    (Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Arianna Malara

    (Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Claudio Liguori

    (Sleep Medicine Centre, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Paola Cozza

    (Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Calogera Pisano

    (Centre for Rare Diseases for Marfan Syndrome and Related Disorders, Department of Cardiac Surgery Unit, University of Tor Vergata General Hospital, 00133 Rome, Italy)

Abstract

The main cause of mortality in Marfan syndrome (MS) is aortic disease. Obstructive sleep apnea (OSA) is highly prevalent in MS, and it is also associated with cardiovascular risk and maxillary deformities. The aim of this research was to analyze the possible relations between OSA, palatal morphology, and aortic root diameters in growing subjects. A group of 15 growing subjects with MS and a control group of healthy peers was selected. All of them underwent nocturnal polygraphic monitoring, digital dental casts, and transthoracic echocardiography. The results showed that OSA indexes and aortic diameters were significantly higher in the study group. Transversal palatal dimension was smaller in MS patients. Moreover, OSA severity was not related with maxillary contraction severity in MS. No correlation between OSA severity and increased aortic diameters occurred. A high prevalence of OSA, increased aortic dimensions, and significant contraction of palatal dimensions were observed in MS compared with the control group. None of these single factors may directly be associated with aortic dilation, but together, they might contribute to the development and progression of aortic aneurysm from a young age.

Suggested Citation

  • Giuseppina Laganà & Nicolò Venza & Arianna Malara & Claudio Liguori & Paola Cozza & Calogera Pisano, 2021. "Obstructive Sleep Apnea, Palatal Morphology, and Aortic Dilatation in Marfan Syndrome Growing Subjects: A Retrospective Study," IJERPH, MDPI, vol. 18(6), pages 1-10, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3045-:d:517766
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    References listed on IDEAS

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    1. Hiroshi Kimura & Hiroyo Ota & Yuya Kimura & Shin Takasawa, 2019. "Effects of Intermittent Hypoxia on Pulmonary Vascular and Systemic Diseases," IJERPH, MDPI, vol. 16(17), pages 1-13, August.
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    Cited by:

    1. Miriam Fioravanti & Francesca Zara & Iole Vozza & Antonella Polimeni & Gian Luca Sfasciotti, 2021. "The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study," IJERPH, MDPI, vol. 18(11), pages 1-13, June.
    2. Agnieszka Trawicka & Aleksandra Lewandowska-Walter & Mikołaj Majkowicz & Robert Sabiniewicz & Lidia Woźniak-Mielczarek, 2022. "Health-Related Quality of Life of Patients with Marfan Syndrome—Polish Study," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    3. Nicolò Venza & Giulia Alloisio & Magda Gioia & Claudio Liguori & Annarita Nappi & Carlotta Danesi & Giuseppina Laganà, 2022. "Saliva Analysis of pH and Antioxidant Capacity in Adult Obstructive Sleep Apnea Patients," IJERPH, MDPI, vol. 19(20), pages 1-7, October.

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