Apical left ventricular aneurysm without atrio-ventricular block due to a lamin A/C gene mutation
Jean-François Forissier1, Gisèle Bonne, Christiane Bouchier
1Service de Cardiologie, Hôpital Ambroise Paré, Boulogne-Billancourt, France.
Insights
Mutations in the LMNA gene cause various disorders. A novel LMNA mutation (R541C) was identified in a family with atypical dilated cardiomyopathy and ventricular rhythm disturbances.
Area of Science:
- Genetics
- Molecular Biology
- Cardiology
Background:
- Mutations in the LMNA gene lead to diverse pathologies affecting specific tissues.
- Three LMNA-related disorders impact cardiac and skeletal muscles, featuring conduction disturbances, dilated cardiomyopathy, and sudden cardiac death.
Observation:
- A novel LMNA mutation (1621C>T, R541C) was identified in two members of a French family.
- The affected individuals presented with ventricular rhythm disturbances and an unusual form of systolic left ventricle dysfunction.
Findings:
- The proband and his daughter exhibited an atypical dilated cardiomyopathy.
- An unexplained left ventricle aneurysm was revealed by ventricular rhythm disturbances, notably without atrio-ventricular block.
Implications:
- This case highlights the significant phenotypic variability associated with LMNA mutations.
- LMNA mutations can manifest with diverse cardiac phenotypes, underscoring the complexity of laminopathies.
Background:
Mutations in LMNA gene encoding two ubiquitously expressed nuclear proteins, lamins A and C, give rise to up to 7 different pathologies affecting specific tissues. Three of these disorders affect cardiac and/or skeletal muscles with atrio-ventricular conduction disturbances, dilated cardiomyopathy and sudden cardiac death as common features.
Results:
A new LMNA mutation (1621C>T, R541C) was found in two members of a French family with a history of ventricular rhythm disturbances and an uncommon form of systolic left ventricle dysfunction. The two patients: the proband and his daughter, were affected and exhibited an atypical form of dilated cardiomyopathy with an unexplained left ventricle aneurysm revealed by ventricular rhythm disturbances without atrio-ventricular block.
Conclusion:
This finding reinforces the highly variable phenotypic expression of LMNA mutation and emphasizes the fact that LMNA mutations can be associated with different cardiac phenotypes.
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