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Early initiation of ERT may have results on bone tissue quality in TS. Large prospective scientific studies will likely to be needed.Early initiation of ERT might have positive effects on bone tissue quality in TS. Big prospective studies are going to be needed.To evaluate k-t accelerated 3D cine b-SSFP (balanced steady state no-cost precession) as magnetized resonance imaging (MRI) way of aortic annular area dimension in transcatheter ao