产前超声波检测到的心脏病遗传异常:病例系列

Yogeshkumar S. Chaudhary, Sachin Shridhar Patil, Varun Ashok Thakur
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摘要

:分子遗传学技术的最新进展证明了遗传因素在冠心病发病中的作用。大约 30% 的先天性心脏病被认为与伴有心外畸形的遗传综合征有关。我们描述了一些产前超声检查发现心脏畸形的病例,这些病例帮助我们怀疑胎儿存在遗传异常,并在随后的确诊检查中得到证实:对 10 例怀疑染色体异常的心脏和心外检查结果进行前瞻性评估和随访。 最终检测结果显示(10 例)胎儿存在基因异常。在我们的系列病例中,我们可以检测到 21 三体综合征(3 例)、18 三体综合征(2 例)、13 三体综合征(2 例)、三倍体综合征(1 例)和 X 单体综合征(特纳斯)(2 例)。异常心脏发现无疑能提高遗传疾病的检出率和基因检测的阳性率。
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Genetic abnormalities in sonographically detected heart diseases in antenatal period: A case series
: Recent advances in molecular genetic techniques have found evidence of the role of genetic factors in the development of CHD. Approximately 30% of CHD is thought to be related to genetic syndromes accompanied by extra-cardiac anomalies. We describe the cases of cardiac anomalies detected on prenatal ultrasound, which helped us in suspecting the genetic abnormality in fetus which were later confirmed by definitive testing.: Prospective evaluation and follow up of 10 cases done which showed cardiac and extracardiac findings suspicious of chromosomal disorder. : Definitive testing showed genetic abnormality in (N = 10) cases. We could detect Trisomy 21 in (N = 3), Trisomy 18 in (N=2), Trisomy 13 in (N=2), Triploidy in (N=1) and Monosomy X (Turners) in (N=2) cases in our series. Detection of abnormal cardiac findings can definitely improve the detection rate of genetic disorders and positive yield of genetic testing.
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