Ebstein anomaly and right aortic arch in patient with Charge syndrome

dc.contributor.authorLubaua, Ingūna
dc.contributor.authorTeraudkalna, Madara
dc.contributor.institutionDepartment of Paediatrics
dc.date.accessioned2021-11-17T12:10:06Z
dc.date.available2021-11-17T12:10:06Z
dc.date.issued2021-11-13
dc.descriptionPublisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstractEbstein anomaly is a rare congenital heart disease characterized by a varying degree of anatomical and functional abnormalities of tricuspid valve and right ventricle. It often coexists with other congenital cardiac malformations. Up to 79–89% of patients with Ebstein anomaly have interatrial communication in the form of patent oval foramen or atrial septal defect and more than one-third has other types of cardiac malformations. Association between Ebstein anomaly and right aortic arch is extremely rare and only few cases have been described in the literature so far. Much rarer than with other cardiac malformations, Ebstein anomaly is associated with non-cardiac malformations or genetic syndromes. Several cases of association between Ebstein anomaly and Charge syndrome have been reported, nevertheless, Ebstein anomaly accounts for less than 1% of cardiac defects seen in patients with Charge syndrome. In this case report, we present a unique case of a patient with Charge syndrome where both Ebstein anomaly and right aortic arch are present. The diagnosis of Ebstein anomaly and right aortic arch was established prenatally. In the first years of life, the patient did not exhibit any remarkable symptoms. However, over time, deterioration of right ventricle function and increased tricuspid regurgitation were observed, requiring consideration of surgical treatment at the age of five. In addition, delay in physical, motor, and mental development was observed and thus, at the age of five, the patient was consulted by a medical geneticist and a gene panel to test for structural heart defects was ordered. The test showed a mutation in chromodomain helicase DNA binding protein 7 (CHD7) gene, which, along with clinical features, allowed to establish a diagnosis of Charge syndrome. To the best of the authors’ knowledge, this is the first case report of a patient with Charge syndrome, Ebstein anomaly, and right aortic arch that has been described in the literature.en
dc.description.statusPeer reviewed
dc.format.extent2153366
dc.identifier.citationLubaua, I & Teraudkalna, M 2021, 'Ebstein anomaly and right aortic arch in patient with Charge syndrome', Medicina, vol. 57, no. 11, 1239. https://doi.org/10.3390/medicina57111239
dc.identifier.doi10.3390/medicina57111239
dc.identifier.issn1010-660X
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/6847
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85119618666&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofMedicina
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEbstein anomaly
dc.subjectright aortic arch
dc.subjectcongenital heart disease
dc.subjectcharge syndrome
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.titleEbstein anomaly and right aortic arch in patient with Charge syndromeen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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