Cornelia de Lange syndrome: Congenital heart disease in 149 patients
2017
Abstract Introduction
Cornelia de Lange syndrome(CdLS) is produced by mutations in genes that encode regulatory or structural proteins of the
cohesincomplex. Congenital heart disease (CHD) is not a
major criterionof the disease, but it affects many individuals. The objective of this study was to study the incidence and type of CHD in patients with CdLS. Material and method
Cardiologicalfindings were evaluated in 149 patients with CdLS and their possible relationship with clinical and genetic variables. Results A percentage of 34.9 had CHD (septal defects 50%, pulmonary stenosis 27%, aortic coarctation 9.6%). The presence of CHD was related with neonatal hospitalization ( p = 0.04), hearing loss ( p = 0.002), mortality ( p = 0.09) and lower hyperactivity ( p = 0.02), it being more frequent in
HDAC8+ patients (60%), followed by
NIPBL+ (33%) and
SMC1A+ (28.5%). While septal defects predominate in
NIPBL+, pulmonary stenosis is more common in
HDAC8+. Conclusions Patients with CdLS have a high incidence of CHD, which varies according to the affected gene, the most frequent findings being septal defects and pulmonary stenosis. Perform a
cardiologicstudy in all these patients is suggested.
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