CLINICAL AND GENETIC CHARACTERISTICS AND FEATURES OF MANAGEMENT OF PATIENTS WITH WILLIAMS SYNDROME: DESCRIPTION OF THREE CASES AND LITERATURE REVIEW

2021 ◽  
Vol 100 (4) ◽  
pp. 141-147
Author(s):  
V.G. Antonenko ◽  
◽  
N.P. Kotlukova ◽  
T.V. Markova ◽  
D.V. Svetlychnaya ◽  
...  

Williams syndrome (OMIM 194050) is a multisystem inherited disorder associated with microdeletion of the long arm of chromosome 7 (q11.23). Typical clinical manifestations of the syndrome are supravalvular aortic stenosis and other congenital anomalies of the heart and blood vessels, facial abnormalities, neonatal hypercalcemia, lag in physical, psychomotor and mental development, unusual cognitive and behavioral profile. Patients with WS require medical supervision and prevention of complications throughout their lives. The paper presents an overview of the results of studies devoted to the study of various aspects of diagnosis and management of patients with WS. The description of the three new cases of WS addresses the main problems and possibilities of diagnosis of the disease in patients with different clinical manifestations.

Perfusion ◽  
2021 ◽  
pp. 026765912110468
Author(s):  
Yuan Yuan ◽  
Ronghua Zhou

Williams syndrome (WS) is a rare congenital developmental disorder caused by the deletion of between 26 and 28 genes on chromosome 7q11.23. For patients with WS, in view of the particularity of the supravalvular aortic stenosis, choosing appropriate arterial cannula, maintaining higher perfusion pressure as well as strengthening myocardial protection during cardiopulmonary bypass (CPB) is essential to the clinical outcome. Here, we report a child with pulmonary artery valvular stenosis who failed to wean off CPB because of malignant arrhythmias and cardiac insufficiency after surgical correction of pulmonary valvular stenosis. With the assistance of extracorporeal membrane oxygenation (ECMO), emergency cardiac catheterization revealed supravalvular aortic stenosis (SVAS), which suggests a suspected missed diagnosis of WS. Finally, under the support of ECMO, the cardiac function gradually returned to normal, and the child was discharged 23 days after surgery.


2019 ◽  
Vol 10 (4) ◽  
pp. 209-213
Author(s):  
Linda Pons ◽  
Patrice Bouvagnet ◽  
Mohamed Bakloul ◽  
Sylvie Di Filippo ◽  
Adrien Buisson ◽  
...  

1998 ◽  
Vol 45 (12) ◽  
pp. 1203-1206 ◽  
Author(s):  
Shinji Kawahito ◽  
Hiroshi Kitahata ◽  
Hideyuki Kimura ◽  
Katsuya Tanaka ◽  
Yoko Sakai ◽  
...  

1993 ◽  
Vol 2 (7) ◽  
pp. 869-873 ◽  
Author(s):  
Timothy M. Olson ◽  
Virginia V. Michels ◽  
Noralane M. Lindor ◽  
Gregory M. Pastores ◽  
JamesL. Weber ◽  
...  

1996 ◽  
Vol 44 (04) ◽  
pp. 219-221 ◽  
Author(s):  
U. Özergin ◽  
G. Sunam ◽  
M. Yeniterzi ◽  
T. Yüksek ◽  
T. Solak ◽  
...  

1993 ◽  
Vol 90 (8) ◽  
pp. 3226-3230 ◽  
Author(s):  
A. K. Ewart ◽  
C. A. Morris ◽  
G. J. Ensing ◽  
J. Loker ◽  
C. Moore ◽  
...  

2021 ◽  
Vol 16 (3) ◽  
pp. 54-61
Author(s):  
A.V. Vitebskaya ◽  
◽  
N.V. Frolkova ◽  
M.D. Shakhnazarova ◽  
◽  
...  

Williams syndrome (WS), also known as Williams–Beuren syndrome, is a rare genetic disorder affecting many organs and caused by hemizygous deletions of the long arm of chromosome 7 (7q11. 23). In this article, we describe typical pathological changes in the cardiovascular, endocrine, urinary, digestive, and nervous systems, as well as phenotypic characteristics and psychological aspects of this disease. We also cover a correlation between clinical manifestations of WS and genes in the remote area. The article contains a summary of the main recommendations for the treatment of individual manifestations, i.e. pathological conditions associated with this syndrome. Key words: children, Williams syndrome, cardiovascular disorder, hypercalcemia, hypothyroidism, growth retardation, mental retardation


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