Abstract
Objective: The Williams-Beuren Syndrome is a rare genetic disorder. Congenital heart disease is common in these patients and the most important cause of mortality and morbidity. The cardiovascular findings and clinical follow-up of patients with Williams sydrome were evaluated in this study.
Material and Methods: Between January 2011 and November 2017, 12 subjects with the Williams-Beuren syndrome admitted to our Department of Pediatric Cardiology were evaluated.
Results: Congenital heart diseases were presented in 83% of the patients. The most common cardiac anomaly was pulmonary stenosis. There was pulmonary stenosis in 60% of our patients, aortic stenosis in 50%, ventricular septal defect in 30%, and atrial septal defect in 20%. There was hypertrophic cardiomyopathy in one case, aortic coarctation in one case and mitral valve prolapse in one case. As regards an additional abnormality, there was hypothyroidism in 50%, idiopathic hypercalcemia in 50%, nephrolithiasis in 16%, and hernias in 34% of the patients with Williams-Beuren syndrome.
Conclusion: Congenital heart diseases are common in patients with the Williams-Beuren syndrome. Even when there are no clinical signs and symptoms, cardiac evaluation of patients with the Williams-Beuren syndrome provides an early diagnosis and prevents the development of irreversible complications that may occur in the future. These patients should be monitored at regular intervals in terms of the associated multisystem disorders.
Keywords: Çocuk, Doğumsal kalp hastalığı
References
- Williams JCP, Barratt-Boyes BG, Lowe JB. Supravalvular aortic stenosis. Circulation 1961;24:1311-8.
- Beuren AJ, Apitz J, Harmjanz D. Supravalvular aortic stenosis in association with mental retardation and a certain facial appearance. Circulation 1962;26:1235-40.
- Sugayama SMM, Moises RL, Wagenfur J. Williams-Beuren syndrome: Cardiovascular abnormalities in 20 patients diagnosed with fluorescence in situ hybridization. Arq Bras Cardiol 2003; 81:462-73.
- Morris CA, Demsey AS, Leonard CO. Natural history of Williams syndrome: Physical characteristics. J Pediatr 1988;113:318-26.
- Figuero J, Rodriguez L, Hach J. Cardiovascular spectrum in Williams-Beuren syndrome: The Mexican experience in 40 patients. Tex Heart Inst J 2008;35:279-85.
- Committee on Genetics. American Academy of Pediatrics: Health care supervision for children with Williams Syndrome. Pediatrics 2001;107:1192-204.
- Gandy KL, Tweddell JS, Pelech AN. How we approach peripheral pulmonary stenosis in Williams-Beuren syndrome. Semin Thorac Cardiovasc Pediatr Card Surg Annu 2009:118-21.
- Bostan ÖM, Çil E. Supravalvuler aort stenozlu dokuz vakanın değerlendirilmesi. Türk Kardiyoloji Derneği Arşivi 2000;28:752-6.
- Sarısoy Ö, Ayabakan C, Tokel K. Williams sendromlu hastaların kardiyak patolojileri ve klinik izlemi. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2013;21:1027-31.
- Arı ME, Erdoğan İ, Varan B. A rare cardiovascular finding in two cases with Williams syndrome: Recurrent coarctation of aorta. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2015;23:728-31.
- Scheiber D, Fekete G, Urban Z, Tarjan I, Balaton G, Kosa L, et al. Echocardiographic findings in patients with Williams-Beuren syndrome. Wien KlinWochenschr 2006;118:538-42.
- Collins RT, Kaplan P, Somes GW, Rome JJ. Long-term outcomes of patients with cardiovascular abnormalities and Williams syndrome. Am J Cardiol 2010;105:874-8.
- Yau EK, Lo IF, Lam ST. Williams-Beuren syndrome in the Hong Kong Chinese population: Retrospective study. Hong Kong Med J 2004;10:22-7.
- Baykan A, Onan S, Sezer S. Williams-Beuren sendromlu 31 olgunun retrospektif değerlendirilmesi. Erciyes Tıp Dergisi 2009;31:185-90.
- Sadler LS, Robinson LK, Verdaasdonk KR, Gingell R. The Williams syndrome: Evidence for possible autosomal dominant inheritance. Am J Med Genet 1993;47:468-70.
- Pham PP, Moller JH, Hills C, Larson V, Pyles L. Cardiac catheterization and operative outcomes from a multicenter consortium for children with Williams syndrome. Pediatr Cardiol 2009;30:9-14.
- Kim YM, Cho JH, Kang E, Kim GH, Seo EJ, Lee BH, et al. Endocrine dysfunctions in children with Williams-Beuren syndrome. Ann Pediatr Endocrinol Metab 2016;21:15-20.
- Martin ND, Snodgrass GJ, Cohen RD. Idiopathic infantile hypercalcaemia-a continuing enigma. Arch Dis Child 1984;59:605-13.
- Stagi S, Bindi G, Neri AS, Lapi E, Losi S, Jenuso R, et al. Thyroid function and morphology in patients affected by Williams syndrome. Clin Endocrinol 2005;63:456-60.
- Sammour ZM, Gomes CM, de Bessa J Jr, Pinheiro MS, Kim CA, Hisano M, et al. Congenital genitourinary abnormalities in children with Williams-Beuren syndrome. J Pediatr Urol 2014;10:804-9.
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