Mulibrey Heart Disease
نویسنده
چکیده
Background—Mulibrey nanism is a rare inherited disease characterized by growth failure and multiorgan manifestations, including constrictive pericarditis. Its long-term course, the results of pericardiectomy, and the details of myocardial involvement have not been reported previously. Methods and Results—We studied 49 patients (26 men) born before 1985 and followed for up to 25 years. By 1999, 25 patients (51%) had developed congestive heart failure (CHF), 19 (39%) had undergone pericardiectomy for constrictive pericarditis, 10 (22%) had died of cardiac causes, and 5 (10%) had died of noncardiac causes. Of the 19 pericardiectomized patients, 12 derived lasting clinical benefit, whereas 1 patient suffered an early noncardiac death and 6 died later of unrelieved or recurrent CHF. At echocardiography in 34 living patients, left ventricular mass adjusted for body height and weight averaged ( SEM) 149 5 g in 21 unoperated patients, 144 8 g in 13 pericardiectomized patients, and 104 7 g in 16 healthy persons matched for age and sex (P 0.000). Autopsies of 11 patients showed fibrotic thickening of the pericardial leaves with myocardial hypertrophy and variable but mostly mild myocardial fibrosis. Endocardial thickening was seen in 3 patients. Conclusions—Constrictive pericarditis, myocardial hypertrophy, and variable myocardial fibrosis constitute the main elements of Mulibrey heart disease. At least one half of patients ultimately develop CHF. Pericardiectomy generally provides clinical benefit, but in approximately one third of patients, CHF may recur because of coexisting myocardial involvement. (Circulation. 2003;107:2810-2815.)
منابع مشابه
Mulibrey heart disease: clinical manifestations, long-term course, and results of pericardiectomy in a series of 49 patients born before 1985.
BACKGROUND Mulibrey nanism is a rare inherited disease characterized by growth failure and multiorgan manifestations, including constrictive pericarditis. Its long-term course, the results of pericardiectomy, and the details of myocardial involvement have not been reported previously. METHODS AND RESULTS We studied 49 patients (26 men) born before 1985 and followed for up to 25 years. By 1999...
متن کاملConstrictive Pericarditis and Primary Amenorrhea with Syndactyly in an Iranian Female: Mulibrey Nanism Syndrome
Mulibrey nanism is a rare autosomal recessive syndrome caused by a mutation in the TRIM37 gene with severe growth retardation and multiple organ involvement. Early diagnosis is important because 50% of the patients develop congestive heart failure owing to constrictive pericarditis, and this condition plays a critical role in the final prognosis. A 37-year-old female patient presented with symp...
متن کاملReport of two Syrian siblings with Mulibrey nanism
Mulibrey (MUscle-LIver-BRain-EYe) nanism is a rare autosomal recessive disease characterized by growth failure, dysmorphic features and a wide range of abnormalities affecting multiple organ systems. This report is the first to present two cases of Mulibrey nanism affecting two siblings from Syria. Mulibrey nanism can be suspected clinically due to the distinctive features of the patients. The ...
متن کاملASSESSMENT OF CARDIAC FUNCTION WITH MAGNETIC RESONANCE IMAGING AND A THREE-DIMENSIONAL SEGMENTATION METHOD Description of Mulibrey nanism cardiopathy and effects of endurance training on cardiac function
متن کامل
A stone was lifted from her heart: pericardial constriction in 28-year-old patient with Mulibrey nanism.
MuLiBrEy nanism (also known as Perheentupa syndrome) is an autosomal recessive congenital disorder. A patient with Perheentupa syndrome has growth retardation and multiple organ manifestations in muscles, liver, brain, and eyes. Over 80% of patients are Finnish. A regular component of this syndrome is pericardial constriction. A 28-year-old patient was firstly diagnosed with an ovarian tumour. ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2003