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Arterial tortuosity syndrome: A rare entity
Ashutosh Marwah1, Sejal Shah, P V Suresh
1Department of Pediatric Cardiology, Narayana Hrudayalaya Institute of Cardiac Sciences, Bangalore, India.
A 5-month-old infant with an incidental heart murmur was diagnosed with arterial tortuosity syndrome. This rare condition involves twisted pulmonary arteries, narrowed vessels, and inguinal hernias.
Area of Science:
- Pediatric Cardiology
- Medical Genetics
Background:
- Arterial Tortuosity Syndrome (ATS) is a rare genetic disorder affecting connective tissue, leading to abnormal widening and twisting of arteries.
- Diagnosis often relies on characteristic vascular and connective tissue abnormalities.
Observation:
- A 5-month-old infant presented with an incidentally detected heart murmur.
- Physical examination revealed bilateral inguinal hernias.
Findings:
- Imaging demonstrated tortuous pulmonary arteries with multiple peripheral pulmonary stenoses.
- The combination of findings strongly suggested Arterial Tortuosity Syndrome.
Implications:
- This case highlights the importance of considering ATS in infants with seemingly isolated vascular anomalies and hernias.
- Early diagnosis of ATS is crucial for appropriate management and monitoring of potential complications.
- Further research into the genetic basis and long-term outcomes of ATS is warranted.
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