Unusual retrospective prenatal findings in a male newborn with Timothy syndrome type 1

J. Román Corona-Rivera, Ernesto Barrios-Prieto, Rafael Nieto-García, Raffaella Bloise, Silvia Priori, Carlo Napolitano, Lucina Bobadilla-Morales, Alfredo Corona-Rivera, Eugenio Zapata-Aldana, Christian Peña-Padilla, Jehú Rivera-Vargas, Eva Chavana-Naranjo

Research output: Contribution to journalArticle

Abstract

Timothy syndrome 1 (TS1) is a multisystem disorder characterized by severe QT prolongation and potentially lethal ventricular arrhythmias in the first years of life, plus other cardiac and extracardiac manifestations caused by mutation in the CACNA1C gene, a CaV1.2 L-type calcium channel. Here, we report retrospectively an unusual fetal presentation on a second patient with TS1 with fetal hydrops due to a congenital AV block and its postnatal diagnosis by a marked prolongation of the corrected QTc interval of 570 ms and a missense mutation, p.Gly406Arg, in exon 8A of CACNA1C gene. The observed manifestations in our patient during fetal period indicate a severe form and they were probably exacerbated by the maternal use of amitriptyline during the first 4 months of pregnancy. Unfortunately, he died at 3 months-old due a ventricular tachycardia and fibrillation related to a septic event. Although difficult to diagnose, possibly most fetuses with TS1 have symptoms of long QT syndrome. Despite the fatal outcome for our patient, an early diagnosis of TS may help to prevent life-threatening events or early death in future patients, especially in developing countries where availability of therapies such as cardioverter defibrillator are very limited, or require time for its funding.

Original languageEnglish
Pages (from-to)332-335
Number of pages4
JournalEuropean Journal of Medical Genetics
Volume58
Issue number6-7
DOIs
Publication statusPublished - Jun 1 2015

Keywords

  • Amitriptyline
  • Atrioventricular block
  • CACNA1C
  • Fetal bradychardia
  • Fetal hydrops
  • Long QT
  • Syndactyly

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)

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  • Cite this

    Corona-Rivera, J. R., Barrios-Prieto, E., Nieto-García, R., Bloise, R., Priori, S., Napolitano, C., Bobadilla-Morales, L., Corona-Rivera, A., Zapata-Aldana, E., Peña-Padilla, C., Rivera-Vargas, J., & Chavana-Naranjo, E. (2015). Unusual retrospective prenatal findings in a male newborn with Timothy syndrome type 1. European Journal of Medical Genetics, 58(6-7), 332-335. https://doi.org/10.1016/j.ejmg.2015.04.001