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Testicular anomalies with or without congenital heart disease(TACHD)

MedGen UID:
816188
Concept ID:
C3809858
Disease or Syndrome
Synonym: TACHD
 
Gene (location): GATA4 (8p23.1)
 
Monarch Initiative: MONDO:0014239
OMIM®: 615542

Clinical features

From HPO
Cryptorchidism
MedGen UID:
8192
Concept ID:
C0010417
Congenital Abnormality
Cryptorchidism, or failure of testicular descent, is a common human congenital abnormality with a multifactorial etiology that likely reflects the involvement of endocrine, environmental, and hereditary factors. Cryptorchidism can result in infertility and increases risk for testicular tumors. Testicular descent from abdomen to scrotum occurs in 2 distinct phases: the transabdominal phase and the inguinoscrotal phase (summary by Gorlov et al., 2002).
Microphallus
MedGen UID:
66816
Concept ID:
C0240701
Finding
Length of penis more than 2 SD below the mean for age accompanied by hypospadias.
Ambiguous genitalia
MedGen UID:
78596
Concept ID:
C0266362
Congenital Abnormality
A genital phenotype that is not clearly assignable to a single gender. Ambiguous genitalia can be evaluated using the Prader scale
Testicular dysgenesis
MedGen UID:
86232
Concept ID:
C0302885
Finding
Perineal hypospadias
MedGen UID:
105292
Concept ID:
C0452148
Congenital Abnormality
Hypospadias with location of the urethral meatus in the perineal region.
Corpus cavernosum hypoplasia
MedGen UID:
816190
Concept ID:
C3809860
Congenital Abnormality
A developmental anomaly characterized by undergrowth of the corpus cavernosum.
Tetralogy of Fallot
MedGen UID:
21498
Concept ID:
C0039685
Congenital Abnormality
People with CCHD have one or more specific heart defects. The heart defects classified as CCHD include coarctation of the aorta, double-outlet right ventricle, D-transposition of the great arteries, Ebstein anomaly, hypoplastic left heart syndrome, interrupted aortic arch, pulmonary atresia with intact septum, single ventricle, total anomalous pulmonary venous connection, tetralogy of Fallot, tricuspid atresia, and truncus arteriosus.\n\nEach of the heart defects associated with CCHD affects the flow of blood into, out of, or through the heart. Some of the heart defects involve structures within the heart itself, such as the two lower chambers of the heart (the ventricles) or the valves that control blood flow through the heart. Others affect the structure of the large blood vessels leading into and out of the heart (including the aorta and pulmonary artery). Still others involve a combination of these structural abnormalities.\n\nSome people with treated CCHD have few related health problems later in life. However, long-term effects of CCHD can include delayed development and reduced stamina during exercise. Adults with these heart defects have an increased risk of abnormal heart rhythms, heart failure, sudden cardiac arrest, stroke, and premature death.\n\nAlthough babies with CCHD may appear healthy for the first few hours or days of life, signs and symptoms soon become apparent. These can include an abnormal heart sound during a heartbeat (heart murmur), rapid breathing (tachypnea), low blood pressure (hypotension), low levels of oxygen in the blood (hypoxemia), and a blue or purple tint to the skin caused by a shortage of oxygen (cyanosis). If untreated, CCHD can lead to shock, coma, and death. However, most people with CCHD now survive past infancy due to improvements in early detection, diagnosis, and treatment.\n\nCritical congenital heart disease (CCHD) is a term that refers to a group of serious heart defects that are present from birth. These abnormalities result from problems with the formation of one or more parts of the heart during the early stages of embryonic development. CCHD prevents the heart from pumping blood effectively or reduces the amount of oxygen in the blood. As a result, organs and tissues throughout the body do not receive enough oxygen, which can lead to organ damage and life-threatening complications. Individuals with CCHD usually require surgery soon after birth.
Inguinal hernia
MedGen UID:
6817
Concept ID:
C0019294
Finding
Protrusion of the contents of the abdominal cavity through the inguinal canal.
Abnormality of thyroid physiology
MedGen UID:
808233
Concept ID:
C0857576
Finding
An abnormal functionality of the thyroid gland.

Professional guidelines

PubMed

Corrado D, Anastasakis A, Basso C, Bauce B, Blomström-Lundqvist C, Bucciarelli-Ducci C, Cipriani A, De Asmundis C, Gandjbakhch E, Jiménez-Jáimez J, Kharlap M, McKenna WJ, Monserrat L, Moon J, Pantazis A, Pelliccia A, Perazzolo Marra M, Pillichou K, Schulz-Menger J, Jurcut R, Seferovic P, Sharma S, Tfelt-Hansen J, Thiene G, Wichter T, Wilde A, Zorzi A
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Int J Cardiol 2020 Nov 15;319:106-114. Epub 2020 Jun 16 doi: 10.1016/j.ijcard.2020.06.005. PMID: 32561223
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Arch Argent Pediatr 2020 Apr;118(2):e149-e161. doi: 10.5546/aap.2020.eng.e149. PMID: 32199055

Recent clinical studies

Etiology

Hinton RB, Ware SM
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Sun R, Liu M, Lu L, Zheng Y, Zhang P
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Qureshi SA, Benson L
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Nat Rev Cardiol 2011 Jan;8(1):50-60. Epub 2010 Nov 2 doi: 10.1038/nrcardio.2010.166. PMID: 21045784

Diagnosis

Scott M, Neal AE
Prim Care 2021 Sep;48(3):351-366. Epub 2021 Jul 8 doi: 10.1016/j.pop.2021.04.005. PMID: 34311844
Meller CH, Grinenco S, Aiello H, Córdoba A, Sáenz-Tejeira MM, Marantz P, Otaño L
Arch Argent Pediatr 2020 Apr;118(2):e149-e161. doi: 10.5546/aap.2020.eng.e149. PMID: 32199055
Williams K, Carson J, Lo C
Biomolecules 2019 Dec 16;9(12) doi: 10.3390/biom9120879. PMID: 31888141Free PMC Article
Sun R, Liu M, Lu L, Zheng Y, Zhang P
Cell Biochem Biophys 2015 Jul;72(3):857-60. doi: 10.1007/s12013-015-0551-6. PMID: 25638345
Qureshi SA, Benson L
Future Cardiol 2012 Mar;8(2):143-7. doi: 10.2217/fca.12.22. PMID: 22413972

Therapy

Williams CA, Wadey C, Pieles G, Stuart G, Taylor RS, Long L
Cochrane Database Syst Rev 2020 Oct 28;10(10):CD013400. doi: 10.1002/14651858.CD013400.pub2. PMID: 33112424Free PMC Article
Yuan SM
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Chassot PG, Bettex DA
J Cardiothorac Vasc Anesth 2006 Jun;20(3):414-37. Epub 2006 May 4 doi: 10.1053/j.jvca.2005.12.016. PMID: 16750749

Prognosis

Otto CM
Heart 2017 Aug;103(16):1225-1226. doi: 10.1136/heartjnl-2017-312089. PMID: 28747534
Oechslin E
Heart 2015 Mar;101(6):485-94. Epub 2014 Oct 9 doi: 10.1136/heartjnl-2012-301685. PMID: 25301858
Dobbenga-Rhodes Y
AORN J 2014 Nov;100(5):C7-8. doi: 10.1016/s0001-2092(14)01064-3. PMID: 25585444
van der Bom T, Zomer AC, Zwinderman AH, Meijboom FJ, Bouma BJ, Mulder BJ
Nat Rev Cardiol 2011 Jan;8(1):50-60. Epub 2010 Nov 2 doi: 10.1038/nrcardio.2010.166. PMID: 21045784
Hoffman JI, Kaplan S
J Am Coll Cardiol 2002 Jun 19;39(12):1890-900. doi: 10.1016/s0735-1097(02)01886-7. PMID: 12084585

Clinical prediction guides

Beerbaum PBJ
Circ Cardiovasc Imaging 2017 May;10(5) doi: 10.1161/CIRCIMAGING.117.006589. PMID: 28495825
Partington SL, Kilner PJ
Circ Cardiovasc Imaging 2017 May;10(5) doi: 10.1161/CIRCIMAGING.116.004688. PMID: 28495824
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Acar P, Hadeed K, Dulac Y
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Riesenkampff E, Messroghli DR, Redington AN, Grosse-Wortmann L
Circ Cardiovasc Imaging 2015 Feb;8(2):e002504. doi: 10.1161/CIRCIMAGING.114.002504. PMID: 25657297

Recent systematic reviews

Gaudino M, Di Franco A, Arbustini E, Bacha E, Bates ER, Cameron DE, Cao D, David TE, De Paulis R, El-Hamamsy I, Farooqi KM, Girardi LN, Gräni C, Kochav JD, Molossi S, Puskas JD, Rao SV, Sandner S, Tatoulis J, Truong QA, Weinsaft JW, Zimpfer D, Mery CM
J Am Coll Cardiol 2023 Nov 21;82(21):2034-2053. Epub 2023 Oct 16 doi: 10.1016/j.jacc.2023.08.012. PMID: 37855757
Wang T, Chen L, Yang T, Huang P, Wang L, Zhao L, Zhang S, Ye Z, Chen L, Zheng Z, Qin J
J Am Heart Assoc 2019 May 21;8(10):e012030. doi: 10.1161/JAHA.119.012030. PMID: 31070503Free PMC Article
Liu Y, Chen S, Zühlke L, Black GC, Choy MK, Li N, Keavney BD
Int J Epidemiol 2019 Apr 1;48(2):455-463. doi: 10.1093/ije/dyz009. PMID: 30783674Free PMC Article
Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, Colman JM, Crumb SR, Dearani JA, Fuller S, Gurvitz M, Khairy P, Landzberg MJ, Saidi A, Valente AM, Van Hare GF
Circulation 2019 Apr 2;139(14):e698-e800. doi: 10.1161/CIR.0000000000000603. PMID: 30586767
van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, Roos-Hesselink JW
J Am Coll Cardiol 2011 Nov 15;58(21):2241-7. doi: 10.1016/j.jacc.2011.08.025. PMID: 22078432

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