2015, Number 11
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Ginecol Obstet Mex 2015; 83 (11)
Vascular disruption birth defects are not associated to chromosomal alterations
Pachajoa H, Yoseth Ariza Y, Isaza C, Méndez F
Language: Spanish
References: 30
Page: 657-661
PDF size: 354.74 Kb.
ABSTRACT
Background: It is estimated that 2 to 35 of newborns present a congenital
malformation. Some publications suggest that vascular disruption birth
defects are not associated with chromosomal alterations detected by
conventional karyotype.
Objective: to determine the frequency of chromosomal alterations detected
by high resolution G banded karyotype in patients with vascular
disruption birth defects in a Colombian population (South America).
Material and method: transversal study. Population: a sample of patients
identified by an epidemiological surveillance system of congenital
malformations in a reference hospital in Cali, Colombia.
Results: 41 cases of vascular disruption birth defects were identified
during a 36 month period; in a descending order those were: transverse
reduction defects, hydranencephaly and gastroschisis. Two expert cytogenetists
performed independent evaluation of the genetic material of
the patients, and no chromosomal alterations detectable by G banded
karyotype were identified.
Conclusions: It is recommended that genetic counseling in cases of
defects by vascular disruption is carried out taking into account the
empirical recurrence risks reported for each one the types of defects
by vascular disruption and the use of karyotype should be limited to
cases with other malformations or chromosomal abnormality suspected
by phenotype.
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