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Tetralogy of Fallot with Holt-Oram syndrome
Vikas Kumar1, Vikas Agrawal, Dharmendra Jain
1Department of Cardiology, Banaras Hindu University, Varanasi, India.
Insights
Holt-Oram syndrome, a genetic disorder causing heart and limb defects, rarely presents with Tetralogy of Fallot. This case highlights an unusual co-occurrence of Hand-Heart syndrome and a complex congenital heart defect.
Area of Science:
- Genetics and Developmental Biology
- Cardiology
- Orthopedics
Background:
- Holt-Oram syndrome (HOS), also known as Hand-Heart syndrome, is a genetic disorder.
- It is characterized by congenital cardiac defects and upper limb skeletal abnormalities.
- Common cardiac defects include atrial septal defects (ASD) and ventricular septal defects (VSD).
Observation:
- This report details a rare case of Holt-Oram syndrome.
- The patient presented with an unusual combination of HOS and Tetralogy of Fallot (TOF).
Findings:
- The co-occurrence of HOS and TOF is exceptionally rare in medical literature.
- This case expands the known spectrum of cardiac anomalies associated with HOS.
Implications:
- Understanding rare HOS presentations is crucial for accurate diagnosis and management.
- Further research into the genetic and developmental pathways linking HOS and TOF is warranted.
- This case underscores the importance of comprehensive cardiac evaluation in patients with HOS.
Abstract:
Holt-Oram syndrome (HOS) is characterised by mild to severe congenital cardiac defects and skeletal abnormalities of the upper limb. This syndrome is also referred to as Hand-Heart syndrome. The most common cardiac disorder is an ostium secundum detected an atrial septal defect (ASD), followed by ventricular septal defect (VSD) and ostium primum ASD. We report a case of HOS with tetralogy of Fallot (TOF). This association is very rare and is hardly reported in the literature.
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