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Right-sided cardiac involvement in osteogenesis imperfecta
Minesh Khashu1, Gustavo Pelligra, George G S Sandor
1Neonatal Service, University Hospitals of Leicester, UK. mineshkhashu@gmail.com
Insights
Osteogenesis imperfecta (OI) primarily affects bones but can impact the heart. This report details the first documented case of right-sided heart involvement in OI patients.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Rare Diseases
Background:
- Osteogenesis imperfecta (OI) is a group of rare genetic disorders characterized by bone fragility.
- While skeletal issues are primary, extraskeletal manifestations, including cardiovascular complications, are increasingly recognized.
- Previous reports have noted left-sided heart structural anomalies in OI, such as aortic root dilatation and valve dysfunction.
Observation:
- This study presents a unique case of osteogenesis imperfecta with involvement of the right side of the heart.
- This contrasts with previously documented cardiovascular manifestations predominantly affecting the left side.
Findings:
- The case highlights previously undocumented structural cardiovascular anomalies in osteogenesis imperfecta.
- Specifically, it details the involvement of the right cardiac structures, expanding the known spectrum of OI-related morbidity.
Implications:
- This finding broadens the understanding of cardiovascular complications in osteogenesis imperfecta.
- It suggests the need for comprehensive cardiac screening in OI patients, potentially including the right heart.
- Further research is warranted to elucidate the mechanisms and prevalence of right-sided heart involvement in OI.
Abstract:
Skeletal manifestations are the hallmark of the osteogenesis imperfecta group of disorders. Extraskeletal involvement may, however, contribute significantly to morbidity. Structural cardiovascular anomalies reported in osteogenesis imperfecta include aortic root dilatation and aortic and mitral valve dysfunction. Herein is reported the first case of involvement of the right side of the heart in osteogenesis imperfecta.
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