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Fatal severe coronary artery stenosis in Williams syndrome: decision making using late gadolinium enhancement cardiovascular MRI

Published online by Cambridge University Press:  13 March 2017

Inga Voges*
Affiliation:
Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, United Kingdom
Rodney C. Franklin
Affiliation:
Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, United Kingdom
Ricardo Wage
Affiliation:
Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, United Kingdom
Sonya V. Babu-Narayan
Affiliation:
Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London, United Kingdom NIHR Cardiovascular Biomedical Research Unit, Royal Brompton and Harefield NHS Foundation Trust, National Heart and Lung Institute, Imperial College, London, United Kingdom
*
Correspondence to: I. Voges, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London SW15 2DF, United Kingdom. Tel: +00 49 (0)78 8171 0045; Fax: 0207 351 8816; E-mail: i.voges2@rbht.nhs.uk

Abstract

Williams syndrome is a well-recognised congenital disorder characterised by cardiovascular, connective tissue, and central nervous system abnormalities. Coronary artery abnormalities are seen in patients with supravalvar aortic stenosis, but end-stage ischaemic heart disease is rare. We report a case of end-stage ischaemic heart disease due to severe coronary arterial stenosis, highlighting how cardiovascular MRI contributed to the management.

Type
Brief Report
Copyright
© Cambridge University Press 2017 

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References

1. Collins, RT 2nd. Cardiovascular disease in Williams syndrome. Circulation 2013; 127: 21252134.CrossRefGoogle ScholarPubMed
2. Collins, RT 2nd, Kaplan, P, Somes, GW, Rome, JJ. Long-term outcomes of patients with cardiovascular abnormalities and Williams syndrome. Am J Cardiol 2010; 105: 874878.CrossRefGoogle ScholarPubMed
3. Bird, LM, Billman, GF, Lacro, RV, et al. Sudden death in Williams syndrome: report of ten cases. J Pediatr 1996; 129: 926931.CrossRefGoogle ScholarPubMed
4. Pieles, GE, Ofoe, V, Morgan, GJ. Severe left main coronary artery stenosis with abnormal branching pattern in a patient with mild supravalvar aortic stenosis and Williams-Beuren syndrome. Congenit Heart Dis 2014; 9: E85E89.CrossRefGoogle Scholar
5. van Pelt, NC, Wilson, NJ, Lear, G. Severe coronary artery disease in the absence of supravalvular stenosis in a patient with Williams syndrome. Pediatr Cardiol 2005; 26: 665667.CrossRefGoogle Scholar
6. González-López, MT, Pérez-Caballero-Martínez, R, Granados-Ruiz, , et al. End-stage ischemic heart failure and Williams-Beuren syndrome: a unique scenario for pediatric heart transplantation. Pediatr Transplant 2016; 20: 472476.CrossRefGoogle ScholarPubMed
7. Etesami, M, Gilkeson, RC, Rajiah, P. Utility of late gadolinium enhancement in pediatric cardiac MRI. Pediatr Radiol 2016; 46: 10961113.CrossRefGoogle ScholarPubMed
8. Babu-Narayan, SV, Kilner, PJ, Li, W, et al. Ventricular fibrosis suggested by cardiovascular magnetic resonance in adults with repaired tetralogy of Fallot and its relationship to adverse markers of clinical outcome. Circulation 2006; 113: 405413.CrossRefGoogle ScholarPubMed
9. Latus, H, Gummel, K, Klingel, K, et al. Focal myocardial fibrosis assessed by late gadolinium enhancement cardiovascular magnetic resonance in children and adolescents with dilated cardiomyopathy. J Cardiovasc Magn Reson 2015; 17: 34.CrossRefGoogle ScholarPubMed
10. Fratz, S, Chung, T, Greil, GF, et al. Guidelines and protocols for cardiovascular magnetic resonance in children and adults with congenital heart disease: SCMR expert consensus group on congenital heart disease. J Cardiovasc Magn Reson 2013; 15: 51.CrossRefGoogle Scholar
11. Stockton, E, Hughes, M, Broadhead, M, Taylor, A, McEwan, A. A prospective audit of safety issues associated with general issues associated with general anesthesia for pediatric cardiac magnetic resonance imaging. Paediatr Anaesth 2012; 22: 10871093.CrossRefGoogle ScholarPubMed