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Bicuspid pulmonary valve

MedGen UID:
87493
Concept ID:
C0344987
Congenital Abnormality
SNOMED CT: Bicuspid pulmonary valve (253599005)
 
HPO: HP:0005182

Definition

The presence of a bicuspid pulmonary valve. [from HPO]

Conditions with this feature

Loeys-Dietz syndrome 2
MedGen UID:
382398
Concept ID:
C2674574
Disease or Syndrome
Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, and cervical spine malformation and/or instability), craniofacial features (hypertelorism, strabismus, bifid uvula / cleft palate, and craniosynostosis that can involve any sutures), and cutaneous findings (velvety and translucent skin, easy bruising, and dystrophic scars). Individuals with LDS are predisposed to widespread and aggressive arterial aneurysms and pregnancy-related complications including uterine rupture and death. Individuals with LDS can show a strong predisposition for allergic/inflammatory disease including asthma, eczema, and reactions to food or environmental allergens. There is also an increased incidence of gastrointestinal inflammation including eosinophilic esophagitis and gastritis or inflammatory bowel disease. Wide variation in the distribution and severity of clinical features can be seen in individuals with LDS, even among affected individuals within a family who have the same pathogenic variant.
Loeys-Dietz syndrome 1
MedGen UID:
1646567
Concept ID:
C4551955
Disease or Syndrome
Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, and cervical spine malformation and/or instability), craniofacial features (hypertelorism, strabismus, bifid uvula / cleft palate, and craniosynostosis that can involve any sutures), and cutaneous findings (velvety and translucent skin, easy bruising, and dystrophic scars). Individuals with LDS are predisposed to widespread and aggressive arterial aneurysms and pregnancy-related complications including uterine rupture and death. Individuals with LDS can show a strong predisposition for allergic/inflammatory disease including asthma, eczema, and reactions to food or environmental allergens. There is also an increased incidence of gastrointestinal inflammation including eosinophilic esophagitis and gastritis or inflammatory bowel disease. Wide variation in the distribution and severity of clinical features can be seen in individuals with LDS, even among affected individuals within a family who have the same pathogenic variant.

Professional guidelines

PubMed

Carvajal V, Reyes FB, Gonzalez D, Schwartz M, Whiltlow A, Alegria JR
Curr Cardiol Rep 2024 Sep;26(9):1031-1045. Epub 2024 Aug 30 doi: 10.1007/s11886-024-02103-9. PMID: 39212775Free PMC Article
DiBardino DJ, Jacobs JP
Semin Thorac Cardiovasc Surg 2014 Summer;26(2):132-44. Epub 2014 Aug 7 doi: 10.1053/j.semtcvs.2014.08.002. PMID: 25441004
Perloff JK
Adv Cardiol 2004;41:1-8. doi: 10.1159/000079778. PMID: 15285212

Recent clinical studies

Etiology

Kim ER, Lee C, Lee CH, Cho SH
Ann Thorac Surg 2024 Mar;117(3):535-541. Epub 2023 Sep 4 doi: 10.1016/j.athoracsur.2023.08.019. PMID: 37666352
Jeon B, Choi ES, Kwon BS, Yun TJ, Cha SG, Baek JS, Yu JJ, Park CS
Interact Cardiovasc Thorac Surg 2022 Jun 1;34(6):1106-1112. doi: 10.1093/icvts/ivac073. PMID: 35356973Free PMC Article
Irwin M, Binney G, Gauvreau K, Emani S, Blume ED, Brown DW
J Am Heart Assoc 2021 Sep 21;10(18):e021599. Epub 2021 Sep 6 doi: 10.1161/JAHA.121.021599. PMID: 34482704Free PMC Article
Lee C, Lee CH, Kwak JG
Ann Thorac Surg 2016 Jul;102(1):163-9. Epub 2016 Apr 12 doi: 10.1016/j.athoracsur.2016.01.056. PMID: 27083247
Angeli E, Gerelli S, Beyler C, Lamerain M, Rochas B, Bonnet D, Vouhé P, Raisky O
Eur J Cardiothorac Surg 2012 Feb;41(2):248-55. Epub 2011 Dec 12 doi: 10.1016/j.ejcts.2011.03.063. PMID: 21757366

Diagnosis

Izumida S, Kawano H, Tsuneto A, Doi Y, Maemura K
Intern Med 2020 Aug 1;59(15):1867-1871. Epub 2020 Apr 30 doi: 10.2169/internalmedicine.4415-20. PMID: 32350197Free PMC Article
Lee C, Lee CH, Kwak JG
Ann Thorac Surg 2016 Jul;102(1):163-9. Epub 2016 Apr 12 doi: 10.1016/j.athoracsur.2016.01.056. PMID: 27083247
Öztürk C, Demirkol S, Aparcı M, Sarı S, Bozlar U, Çelik T, İyisoy A
Anatol J Cardiol 2015 Jan 21;15(2):E5. doi: 10.5152/akd.2015.5929. PMID: 25625455Free PMC Article
Sasikumar N, Ramanan S, Rema KM, Kumar RS, Subramanyan R, Cherian KM
Asian Cardiovasc Thorac Ann 2014 May;22(4):436-41. Epub 2013 Nov 13 doi: 10.1177/0218492313496416. PMID: 24771732
Okoye MI, Mueller WF Jr, Congdon DE, Dewitt BL, Blight CO, Lau JM
Am J Forensic Med Pathol 1983 Mar;4(1):79-83. doi: 10.1097/00000433-198303000-00009. PMID: 6837541

Therapy

Irwin M, Binney G, Gauvreau K, Emani S, Blume ED, Brown DW
J Am Heart Assoc 2021 Sep 21;10(18):e021599. Epub 2021 Sep 6 doi: 10.1161/JAHA.121.021599. PMID: 34482704Free PMC Article
van der Palen RLF, van der Bom T, Dekker A, Tsonaka R, van Geloven N, Kuipers IM, Konings TC, Rammeloo LAJ, Ten Harkel ADJ, Jongbloed MRM, Koolbergen DR, Mulder BJM, Hazekamp MG, Blom NA
Heart 2019 Nov;105(22):1732-1740. Epub 2019 Jul 10 doi: 10.1136/heartjnl-2019-315157. PMID: 31292191Free PMC Article
Sasikumar N, Ramanan S, Rema KM, Kumar RS, Subramanyan R, Cherian KM
Asian Cardiovasc Thorac Ann 2014 May;22(4):436-41. Epub 2013 Nov 13 doi: 10.1177/0218492313496416. PMID: 24771732
Khan SM, Sallehuddin AB, Al-Bulbul ZR, Al-Halees ZY
Ann Thorac Surg 2008 Jan;85(1):179-84. doi: 10.1016/j.athoracsur.2007.07.012. PMID: 18154805
Stewart RD, Backer CL, Young L, Mavroudis C
Ann Thorac Surg 2005 Oct;80(4):1431-8; discussion 1438-9. doi: 10.1016/j.athoracsur.2005.04.016. PMID: 16181883

Prognosis

Kim ER, Lee C, Lee CH, Cho SH
Ann Thorac Surg 2024 Mar;117(3):535-541. Epub 2023 Sep 4 doi: 10.1016/j.athoracsur.2023.08.019. PMID: 37666352
Jeon B, Choi ES, Kwon BS, Yun TJ, Cha SG, Baek JS, Yu JJ, Park CS
Interact Cardiovasc Thorac Surg 2022 Jun 1;34(6):1106-1112. doi: 10.1093/icvts/ivac073. PMID: 35356973Free PMC Article
Koenraadt WMC, Bartelings MM, Gittenberger-de Groot AC, Bökenkamp R, DeRuiter MC, Schalij MJ, Jongbloed MRM
Pediatr Cardiol 2018 Apr;39(4):690-694. Epub 2018 Jan 16 doi: 10.1007/s00246-018-1807-x. PMID: 29340729Free PMC Article
Lee C, Lee CH, Kwak JG
Ann Thorac Surg 2016 Jul;102(1):163-9. Epub 2016 Apr 12 doi: 10.1016/j.athoracsur.2016.01.056. PMID: 27083247
Sasikumar N, Ramanan S, Rema KM, Kumar RS, Subramanyan R, Cherian KM
Asian Cardiovasc Thorac Ann 2014 May;22(4):436-41. Epub 2013 Nov 13 doi: 10.1177/0218492313496416. PMID: 24771732

Clinical prediction guides

Jeon B, Choi ES, Kwon BS, Yun TJ, Cha SG, Baek JS, Yu JJ, Park CS
Interact Cardiovasc Thorac Surg 2022 Jun 1;34(6):1106-1112. doi: 10.1093/icvts/ivac073. PMID: 35356973Free PMC Article
Ren S, Ma C, Li S
J Clin Ultrasound 2019 Jun;47(5):315-318. Epub 2019 Feb 15 doi: 10.1002/jcu.22700. PMID: 30770571
Koenraadt WMC, Bartelings MM, Gittenberger-de Groot AC, Bökenkamp R, DeRuiter MC, Schalij MJ, Jongbloed MRM
Pediatr Cardiol 2018 Apr;39(4):690-694. Epub 2018 Jan 16 doi: 10.1007/s00246-018-1807-x. PMID: 29340729Free PMC Article
Sun F, Fan M, Huang L, Ren W, Li D
J Clin Ultrasound 2018 May;46(4):265-268. Epub 2017 Sep 7 doi: 10.1002/jcu.22520. PMID: 28881023
Angeli E, Gerelli S, Beyler C, Lamerain M, Rochas B, Bonnet D, Vouhé P, Raisky O
Eur J Cardiothorac Surg 2012 Feb;41(2):248-55. Epub 2011 Dec 12 doi: 10.1016/j.ejcts.2011.03.063. PMID: 21757366

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