Rosa Rafael Fabiano Machado, Zen Paulo Ricardo Gazzola, Graziadio Carla, Paskulin Giorgio Adriano
Complexo Hospitalar Santa Casa de Porto Alegre, Clinical Genetics, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil.
Arq Bras Cardiol. 2009 Feb;92(2):e6-8, e33-5. doi: 10.1590/s0066-782x2009000200015.
We report the case of a 43-day-old boy with branchio-oculo-facial syndrome (BOFS) and congenital heart defect. On clinical examination, he presented growth retardation, epicanthal folds, small palpebral fissures, telecanthus, broadened nasal bridge, lip pseudocleft, micrognathia, dysplastic and posteriorly-rotated ears, branchial clefts, short and webbed neck, supernumerary nipple, hypotonia and decreased deep tendon reflexes. Echocardiography showed the presence of a type-A complete atrioventricular septal defect and patent ductus arteriosus. This description strengthens the possibility of congenital heart defects being part of the spectrum of anomalies seen in BOFS.
