Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report

Rasopathy syndromes are a class of phenotypically similar, but genetically distinct multiple anomaly syndromes caused by germ line mutations in genes that encode protein components of the Ras/mitogen activated protein kinase (MAPK) pathway. Noonan syndrome, cardiofaciocutaneous syndrome and Costello...

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Main Authors: Meenakshi Kadiyala, Viswanathan Thangavelu, Kannan Radhakrishnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Heart India
Subjects:
Online Access:http://www.heartindia.net/article.asp?issn=2321-449x;year=2014;volume=2;issue=1;spage=22;epage=25;aulast=Kadiyala
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author Meenakshi Kadiyala
Viswanathan Thangavelu
Kannan Radhakrishnan
author_facet Meenakshi Kadiyala
Viswanathan Thangavelu
Kannan Radhakrishnan
author_sort Meenakshi Kadiyala
collection DOAJ
description Rasopathy syndromes are a class of phenotypically similar, but genetically distinct multiple anomaly syndromes caused by germ line mutations in genes that encode protein components of the Ras/mitogen activated protein kinase (MAPK) pathway. Noonan syndrome, cardiofaciocutaneous syndrome and Costello syndrome are part of this group of developmental syndromes and have similar cardiac abnormalities. A 19-year-old male presented with complaints of exertional breathlessness class I for 6 months. Clinical examination revealed characteristic facial features, skeletal abnormalities, growth and neurocognitive problems reported in patients with Noonan syndrome. There was evidence of severe pulmonary hypertension. Trans-thoracic echocardiography revealed right atrial and right ventricular enlargement, severe pulmonary hypertension, no intra cardiac shunt, prolapse of anterior mitral leaflet with mild mitral regurgitation. CT pulmonary angiogram revealed bilateral branch pulmonary artery stenosis. A final diagnosis of Noonan syndrome was made.
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spelling doaj.art-7c5495ae35414006bc4ba0c9db1736992022-12-22T02:54:03ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2014-01-0121222510.4103/2321-449x.127977Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case reportMeenakshi KadiyalaViswanathan ThangaveluKannan RadhakrishnanRasopathy syndromes are a class of phenotypically similar, but genetically distinct multiple anomaly syndromes caused by germ line mutations in genes that encode protein components of the Ras/mitogen activated protein kinase (MAPK) pathway. Noonan syndrome, cardiofaciocutaneous syndrome and Costello syndrome are part of this group of developmental syndromes and have similar cardiac abnormalities. A 19-year-old male presented with complaints of exertional breathlessness class I for 6 months. Clinical examination revealed characteristic facial features, skeletal abnormalities, growth and neurocognitive problems reported in patients with Noonan syndrome. There was evidence of severe pulmonary hypertension. Trans-thoracic echocardiography revealed right atrial and right ventricular enlargement, severe pulmonary hypertension, no intra cardiac shunt, prolapse of anterior mitral leaflet with mild mitral regurgitation. CT pulmonary angiogram revealed bilateral branch pulmonary artery stenosis. A final diagnosis of Noonan syndrome was made.http://www.heartindia.net/article.asp?issn=2321-449x;year=2014;volume=2;issue=1;spage=22;epage=25;aulast=KadiyalaBranch pulmonary artery stenosismitral valve prolapsenoonan syndrome
spellingShingle Meenakshi Kadiyala
Viswanathan Thangavelu
Kannan Radhakrishnan
Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report
Heart India
Branch pulmonary artery stenosis
mitral valve prolapse
noonan syndrome
title Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report
title_full Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report
title_fullStr Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report
title_full_unstemmed Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report
title_short Bilateral branch pulmonary artery stenosis and Mitral valve prolapse in a patient with Noonan syndrome: A case report
title_sort bilateral branch pulmonary artery stenosis and mitral valve prolapse in a patient with noonan syndrome a case report
topic Branch pulmonary artery stenosis
mitral valve prolapse
noonan syndrome
url http://www.heartindia.net/article.asp?issn=2321-449x;year=2014;volume=2;issue=1;spage=22;epage=25;aulast=Kadiyala
work_keys_str_mv AT meenakshikadiyala bilateralbranchpulmonaryarterystenosisandmitralvalveprolapseinapatientwithnoonansyndromeacasereport
AT viswanathanthangavelu bilateralbranchpulmonaryarterystenosisandmitralvalveprolapseinapatientwithnoonansyndromeacasereport
AT kannanradhakrishnan bilateralbranchpulmonaryarterystenosisandmitralvalveprolapseinapatientwithnoonansyndromeacasereport