Ventricular septal defect in a child with Alport syndrome: a case report

BMC Cardiovascular Disorders

Case Report

Giuseppe Mercuro¹  Pier Paolo Bassareo¹  Andrea Raffaele Marras² 

[1] Department of Cardiovascular and Neurological Sciences, University of Cagliari, Cagliari, Italy;Study Center for Cardiac Disease in Pediatric Age, University of Cagliari, Cagliari, Italy;

关键词: Congenital Heart Disease;    Clonidine;    Ventricular Septal Defect;    Ventricular Septal Defect;    Glomerular Basal Membrane;   

DOI  :  10.1186/1471-2261-10-48

 received in 2010-07-08, accepted in 2010-10-05,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundAlport syndrome (AS) is a rare inherited disorder characterized by an inflammation of the kidneys and damage to the glomerular capillaries, ultimately leading to renal failure at an early age. To date, rare reports of cardiac involvement in AS have been described, due in the majority of cases to the higher risk of heart conduction abnormalities in these patients, at times requiring implantation of a transcutaneous pacemaker. An increased risk of hypertension is likewise commonly featured.Case presentationWe report the case of a 17-year-old female affected by a very severe early form of AS. A previously unreported association of the syndrome with congenital heart disease (CHD), (in this case membranous ventricular septal defect), is also reported. A possible pathophysiological mechanism underlying the concomitant manifestation of these two disorders is suggested. Complications implicated in surgical treatment of CHD are described. Clinical and therapeutic management of AS with cardiovascular involvement are discussed, and a short literature review performed.ConclusionsThis first report of a cardiovascular association highlights the possible involvement of collagen mutations in the two pathologies. Even when drug-resistance appears to be responsible for the failure to control secondary hypertension in AS, clonidine may represent a safe, effective option in the normalization of high blood pressure.

【 授权许可】

CC BY   
© Bassareo et al; licensee BioMed Central Ltd. 2010