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.

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