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.

Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
416
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
472
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
448
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.1K
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
466
Compact Bone01:27

Compact Bone

Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
Compact bone, also called cortical bone, is the denser, stronger of the two types of bone tissue. It is found under the periosteum and in the diaphyses of long bones, where it provides support and protection. The microscopic structural unit of compact bone is called an osteon, or haversian system. Each osteon is composed of concentric rings of calcified...
16.1K