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Apert综合征合并法洛四联症的1例报道

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目的 报道Apert综合征合并法洛四联症1例.方法 回顾性分析东部战区空军医院妇产科利用产前超声诊断的Apert综合征合并法洛四联症1例,并完成全外显子组测序.结果 本文报道1例产前超声筛查异常,临床高度怀疑胎儿Apert综合征的孕妇,取胎儿羊水及脐血分别行低深度全基因组拷贝数变异测序及家系全外显子组测序,并对孕妇再生育情况进行追踪了解.该孕妇产前超声筛查提示胎儿畸形(前额突出、并指畸形、法洛四联症),全外显子组测序结果提示FGFR2 c.755C>G新发杂合变异,为Apert综合征致病性变异.超声结合基因检测综合诊断为Apert综合征合并法洛四联症.孕妇经遗传咨询后引产1女胎,表型符合产前超声诊断.后续随访该例已再次受孕并分娩1名健康女婴.结论 本文报道了罕见的Apert综合征合并法洛四联症病例,为临床能够产前准确识别、诊断Apert综合征合并法洛四联症,并预测孕母再妊娠风险提供参考.
A case report of Apert syndrome combined with tetralogy of Fallot
Objective Report a case of Apert syndrome combined with Fallot's tetrad.Methods A retrospective analysis was conducted on one case of Apert syndrome combined with Tetralogy of Fallot diagnosed by prenatal ultrasound in the Department of Obstetrics and Gynecology,the Air Force Hospital of Eastern Theater Command,and the whole exome sequencing was completed.Results In this paper,we retrospectively analyzed a pregnant woman with abnormal prenatal ul-trasound screening and high clinical suspicion of fetal Apert syndrome.Fetal amniotic fluid and umbilical cord blood were obtained for low-depth whole genome copy number variant sequencing and whole exome sequencing of the family lineage,and the pregnant woman was followed up for her reproduction status.Prenatal ultrasound screening of this pregnant woman suggested fetal malformations(prominent forehead,syndactyly,tetralogy of Fallot),and whole exome sequencing results suggested FGFR2(c.755C>G)as a novo heterozygous variant,which was the pathogenic variant for Apert syndrome.Apert syndrome combined with tetralogy of Fallot was diagnosed by ultrasound combined with genetic testing.The pregnant woman was induced to deliver a female fetus after genetic counseling,and the phenotype was consistent with the prenatal ultrasound diagnosis.On follow-up,the case was re-conceived and delivered a healthy baby girl.Conclusion This article reports a rare case of Apert syndrome combined with tetralogy of fallot,which can provide reference for accurately identifying and diag-nosing Apert syndrome combined with tetralogy of Fallot in prenatal clinic,and predict the risk of pregnancy.

prenatal ultrasoundApert syndrometetralogy of Fallot

翟梁好、杨燕、于迎春、计春敏、杨庆林、王静、周诚敏、李晓

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中国人民解放军东部战区空军医院妇产科,江苏南京 210002

产前超声 Apert综合征 法洛四联症

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(11)