Among 209 adults with Ehlers-Danlos syndromes and related disorders, the prevalence of mitral valve prolapse was 6.4% and aortic root dilation was 1.6%, with no cases requiring surgical intervention.
Observational (n=209)
What is the frequency of clinically significant mitral valve prolapse and aortic root dilation in adults with hypermobile Ehlers-Danlos syndrome and related disorders?
Routine echocardiograms to assess for valvular diseases and aortic root dilation may not be necessary in adults with hypermobile Ehlers-Danlos syndrome unless warranted by symptoms or family history.
Ehlers-Danlos syndromes (EDSs) are a group of inherited connective tissue disorders, and among them, classical EDS (cEDS) and hypermobile EDS (hEDS) are the most common. Mitral valve prolapse (MVP) and aortic root dilation (ARD) have previously been reported to occur at an increased frequency within cEDS and hEDS. More recently, a study performed in the pediatric population did not show increased prevalence (Ritter et al., American Journal of Medical Genetics Part A, 173(6), 1467-1472, 2017). The purpose of this study was to review a large population of individuals with cEDS, hEDS, and hypermobility spectrum disorders to determine the frequency of MVP and ARD. A retrospective chart review of 209 individuals with echocardiograms was performed. Overall, 6.4% (13/209) had MVP and 1.6% (3/189) were found to have ARD. Although the presence of MVP is higher than what has been reported in the general population, no patients had severe MVP or required surgical intervention. No patients in this cohort had an aortic root diameter requiring surgical repair. Based on the results of this study and previous studies, routine echocardiograms to assess for valvular diseases and ARD may not be necessary unless warranted by presence of symptoms or family history.
Asher et al. (Tue,) conducted a observational in Ehlers-Danlos syndromes and hypermobility spectrum disorders (n=209). Among 209 adults with Ehlers-Danlos syndromes and related disorders, the prevalence of mitral valve prolapse was 6.4% and aortic root dilation was 1.6%, with no cases requiring surgical intervention.