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1p36 Deletion Syndrome and Left Ventricular Non-compaction Cardiomyopathy-Two Cases Report
Subin Jang1, Allison Taber2, Michael G Bateman3
1Division of Pediatric Cardiac Surgery, Department of Surgery, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, United States.
Insights
1p36 deletion syndrome, a common genetic disorder, is linked to left ventricular non-compaction cardiomyopathy. Early cardiac screening and heart transplantation offer favorable outcomes for affected children.
Area of Science:
- Genetics
- Cardiology
- Pediatrics
Background:
- 1p36 deletion syndrome is the most common terminal deletion syndrome.
- Cardiomyopathy and congenital heart defects are frequently observed in individuals with 1p36 deletion syndrome.
Observation:
- Two cases of 1p36 deletion syndrome presenting with left ventricular non-compaction cardiomyopathy are detailed.
- Both patients exhibited severely depressed left ventricular function, necessitating heart transplantation.
Findings:
- Heart transplantation yielded excellent outcomes for both patients with 1p36 deletion syndrome and non-compaction cardiomyopathy.
- These cases highlight the potential for successful therapeutic interventions in this patient population.
Implications:
- Routine cardiac screening is recommended for all children diagnosed with 1p36 deletion syndrome.
- Early detection and management of cardiac complications can significantly improve prognosis in 1p36 deletion syndrome.
Abstract:
1p36 deletion is the most common terminal deletion syndrome in humans. Herein, we report two cases, a 5-month-old female and a 14.5-year-old female, both with 1p36 deletion and left ventricular non-compaction cardiomyopathy. They presented with severely depressed left ventricle function and underwent heart transplantation with excellent outcomes. Given the incidence of heart defects and cardiomyopathy in 1p36 deletion syndrome, it should be recommended that children with this genetic condition have screening for cardiac disease. These cases add to the current literature by demonstrating the potential therapeutic options for non-compaction in 1p36 deletion syndrome and showed the favorable outcomes.
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