Cyanosis and Clipping: Noninfectious Aneurysm in a Patient with 22q11.2 Deletion Syndrome

2021 ◽  
pp. 1-5
Author(s):  
Bhanu Jayanand Sudhir ◽  
Sanjay Honavalli Murali ◽  
Jaypalsinh Gohil ◽  
Rajalakshmi Poyuran ◽  
Manikantan Sethuraman ◽  
...  

Noninfectious cerebral aneurysms are rare in patients with congenital cyanotic heart disease. We present a patient with DiGeorge/velocardiofacial syndrome with a complex congenital cyanotic heart disease with a ruptured anterior communicating artery aneurysm. The 10-year-old child was managed by surgical clipping of the aneurysm. Surgical challenges included prominent veins in the Sylvian fissure, difficulty in differentiating arterial and venous bleed, and anesthetic risks. The patient recovered without any neurological deficits. This is the first report of a patient with 22q11.2 deletion syndrome, with a noninfectious cerebral aneurysm.

2014 ◽  
Vol 57 (1) ◽  
pp. 11 ◽  
Author(s):  
Mi-Young Lee ◽  
Hye-Sung Won ◽  
Ju Won Baek ◽  
Jae-Hyun Cho ◽  
Jae-Yoon Shim ◽  
...  

2009 ◽  
Vol 51 (9) ◽  
pp. 746-753 ◽  
Author(s):  
MARIE SCHAER ◽  
BRONWYN GLASER ◽  
MERITXELL BACH CUADRA ◽  
MARTIN DEBBANE ◽  
JEAN-PHILIPPE THIRAN ◽  
...  

2021 ◽  
Author(s):  
Natalia Dayane Moura Carvalho ◽  
Ronaldo Castillo Camargo ◽  
Heliana Maria Costa Garcia ◽  
Suely Regina da Silva Teles ◽  
Cleiton Fantin

22q11.2 deletion syndrome is caused by a deletion in chromosome 22q11.2 and has more than 180 distinct phenotypes; however, no finding is pathognomonic or even mandatory. This syndrome can be diagnosed by fluorescence in situ hybridization. Thus, we report herein a patient from Manaus, Brazil, who has congenital heart disease and facial dimorphism with the presence of 22q11.2 deletion in the N25 region. Male patient, a 1-year-old son of non-consanguineous parents and without a family history of genetic disease. The patient was hospitalized in the cardiac intensive care unit of the Francisca Mendes University Hospital for surgery. The patient was diagnosed with interventricular communication, low atrial implantation, hypertelorism, and macroglossia. The FISH result revealed the presence of a proximal deletion in the N25 region (22q11.2) in only one of the pairs in chromosome 22. This finding revealed a diagnosis of 22q11.2 deletion syndrome, in other words, a hemizygotes deletion with haploinsufficiency of the CLTCL1 gene in this region. However, it is valid to say that the CLTCL1 gene is related to the clinical picture of the patient reported in this study. Cytogenetic analysis was essential for the etiological diagnosis and revealed 22q11.2 deletion in the N25 region, which resulted in 22q11.2 deletion syndrome. The importance of diagnosing this syndrome lies in the best therapeutic conduct, thus allowing a better quality of life for the patient and adequate genetic counseling. Other cytogenetic studies are essential in order to elucidate the size of the deletion and low copy repeats involved in this deletion.


2018 ◽  
Vol 176 (10) ◽  
pp. 2099-2103 ◽  
Author(s):  
Arpana Rayannavar ◽  
Lorraine E. Levitt Katz ◽  
Terrence Blaine Crowley ◽  
Megan Lessig ◽  
Katheryn Grand ◽  
...  

Author(s):  
I.V. Komarova, A.A. Nikiforenko, E.F. Khmeleva et all

Two cases of prenatal diagnosis of a deletion syndrome 22q11.2 are presented. They are includes the cardiovascular defects in combination with hypoplasia of the thymus. In first case the pregnancy was aborted due to the heart disease, adverse for life (aortic arch interruption). In second case (right aorta arch and left aberrant subclavial artery) the pregnancy was prolonged, the chromosomal pathology was diagnosed at the age of 3 months. Modern data on clinic, diagnosis and outcome of a syndrome at the fetus, children and adults are analyzed. The possibility of the aim prenatal diagnosis of syndrome on the basis of the characteristic conotruncal abnormalities in combination with hypoplasia of thymus is presented.


2011 ◽  
Vol 107 (3) ◽  
pp. 466-471 ◽  
Author(s):  
Jodi-Ann M. Swaby ◽  
Candice K. Silversides ◽  
Sean C. Bekeschus ◽  
Sara Piran ◽  
Erwin N. Oechslin ◽  
...  

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