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Updated: Aug 5, 2026

FISH for Pre-implantation Genetic Diagnosis
Published on: February 24, 2011
Patient with trisomy 9p and a hypoplastic left heart with a tricentric chromosome 9
Jennifer J D Morrissette1, Ayala Laufer-Cahana, Livija Medne
1Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
Insights
This study details a patient with hypoplastic left heart and joint dislocations, identified with trisomy 9p and partial 9q duplication. Genetic analysis revealed a complex derivative chromosome 9.
Area of Science:
- Genetics
- Developmental Biology
- Clinical Medicine
Background:
- Hypoplastic left heart (HLH) is a severe congenital heart defect.
- Genetic abnormalities can lead to complex congenital conditions.
- Accurate karyotyping is crucial for diagnosing developmental disorders.
Observation:
- A patient presented with HLH, hip and knee dislocations, and minor dysmorphic features.
- Karyotyping revealed an abnormal chromosome 9: 46,((, dic(or tri?)(9)(9pter --> 9q34::9q21 --> 9pter).
- FISH analysis indicated trisomy for 9p and a portion of 9q, with three pericentromeric regions on the derivative chromosome.
Findings:
- The derivative chromosome (der(9)) involved an inverted duplication of the 9p arm and proximal 9q arm.
- FISH confirmed the presence of extra genetic material from chromosome 9.
- Minimal deletion at the 9q subtelomere was suggested.
Implications:
- This case highlights the phenotypic variability associated with chromosomal abnormalities.
- Understanding complex rearrangements like der(9) is vital for genetic counseling.
- Further research can elucidate genotype-phenotype correlations in trisomy 9p/9q duplications.
Abstract:
We present a patient with a hypoplastic left heart (HLH), dislocations of the hips and knees, and minor dysmorphic features, who had an abnormal karyotype that resulted in trisomy for 9p and a portion of 9q: 46,((, dic(or tri?)(9)(9pter --> 9q34::9q21 --> 9pter).ish(WCP9++).ish(D9Z5X4 +/+++). The derivative chromosome consisted of an additional copy of the proximal q arm and p arm attached to 9qter in an inverted fashion. Fluorescence in situ hybridization (FISH) using a chromosome 9 beta-satellite probe revealed three signals on the abnormal chromosome 9, suggesting the presence of 3 pericentromeric regions on the der(9). The 9q subtelomere was present on both the normal and derivative chromosome 9, suggesting that very little material, if any, is deleted.
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