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Published on: July 17, 2014
Congenital heart defects in malformation syndromes
1Department of Pediatrics, University of Pittsburgh School of Medicine, Pennsylvania.
Insights
This review categorizes congenital heart defects (CHDs) within malformation syndromes by cause. Recognizing specific cardiac patterns aids in identifying syndromes, improving prenatal diagnosis and fetal echocardiography.
Area of Science:
- Medical Genetics
- Developmental Biology
- Cardiology
Background:
- Congenital heart defects (CHDs) are common in malformation syndromes.
- Identifying specific cardiac phenotypes can aid in syndrome diagnosis.
- Understanding the etiological basis of CHDs in syndromes is crucial.
Purpose of the Study:
- To comprehensively review the types and frequency of CHDs in malformation syndromes.
- To explore the utility of cardiac phenotypes in identifying specific syndromes.
- To provide a framework for recognizing patterns of CHDs across different syndromes.
Main Methods:
- Literature review of congenital heart defects in malformation syndromes.
- Categorization of syndromes by etiology.
- Analysis of cardiac phenotypes associated with specific syndromes.
- Application of a mechanistic classification for CHDs.
Main Results:
- Certain cardiac phenotypes are highly indicative of specific malformation syndromes.
- A mechanistic classification of CHDs reveals patterns across syndromes.
- Awareness of syndrome-specific CHDs enhances diagnostic capabilities.
Conclusions:
- Cardiac phenotypes are valuable diagnostic markers for malformation syndromes.
- A mechanistic approach to classifying CHDs facilitates pattern recognition.
- Knowledge of CHDs in syndromes improves prenatal diagnosis and fetal echocardiography.
Abstract:
This article presents a comprehensive review of the type and frequency of congenital heart defects found in malformation syndromes which have been categorized by etiology. Certain cardiac phenotypes can be as helpful in identifying certain syndromes as can be seen with the more familiar facial, body, and behavioral phenotypes. An awareness of syndromes with a higher risk of congenital heart defect, and knowledge concerning heart defects which are distinctive for certain syndromes, focuses prenatal diagnosis efforts and fetal echocardiography. By using a mechanistic classification in which congenital heart defects are regarded as families of related defects rather than individual lesions, patterns can be recognized among different syndromes.
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