Vasomotor instability in neonates with chromosome 22q11 deletion syndrome

American Journal of Medical Genetics. Part a
Vandana ShashiMichael H Hines

Abstract

Approximately 70% of individuals with chromosome 22q11 deletion syndrome (22q11DS) have congenital heart defects. A host of other vascular problems in these patients, such as tortuous carotid arteries, Raynaud's phenomenon, unexplained hypotension, hypertension, and hypothermia, raise the possibility that there may be abnormal autonomic regulation of the vascular system. So far, however, there has been no formal report of autonomic dysfunction in patients with 22q11 deletion. We present two infants with 22q11DS, who had profound hypotension after uncomplicated surgeries for congenital heart disease. The hypotension was not responsive to vasopressor treatment (and extracorporeal membrane oxygenation in one infant) and resulted in death, due to multiorgan system failure. Obvious causes, such as poor cardiac contractility, prolonged circulatory arrest, neurological abnormality, sepsis and blood loss were excluded. On autopsy, no abnormalities were found that could explain the hypotension. We hypothesize that these infants died of severe hypotension due to abnormal vascular tone and that this is a variable feature in individuals with 22q11 deletion. The autonomic nervous system, which is responsible for the regulation of vasomotor ...Continue Reading

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Citations

Jan 5, 2011·Medicine·D M McDonald-McGinn, Kathleen E Sullivan
Feb 28, 2009·Journal of Medical Genetics·Anne S BassettC Silversides
Sep 9, 2015·Cardiology in the Young·Benjamin J LandisRobert B Hinton
Jul 19, 2008·Developmental Disabilities Research Reviews·Adriano CarottiBruno Marino
Jan 11, 2005·Current Opinion in Allergy and Clinical Immunology·Kathleen E Sullivan

Related Concepts

Chromosomes, Human, Pair 22
Shprintzen Syndrome
Congenital Heart Defects
Hypotension
Vasomotor System
Velopharyngeal Insufficiency
Gene Deletion
Fatal Outcome

Related Feeds

22q11 Deletion Syndrome

22q11.2 deletion syndrome, also known as DiGeorge syndrome, is a congenital disorder caused as a result of a partial deletion of chromosome 22. Here is the latest research.

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

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