How to manage a congenital heart defect in a patient with thrombocytopenia-absent radius syndrome?
TAR syndrome and heart defect
Keywords:
Thrombocytopenia-absent radius syndrome, TAR syndrome, ventricular septal defect, infantAbstract
Ventricular septal defect (VSD) can be repaired using cardiopulmonary bypass, resulting in a favorable postoperative outcome with minimal bleeding. Thrombocytopenia-absent radius (TAR) syndrome is rare, occurring in approximately 0.42 out of 100,000 live births. This syndrome is characterized by hypo-megakaryocytic thrombocytopenia and bilateral absent radii. TAR syndrome can be life-threatening within the first 14 months of life due to severe bleeding. In this report, we present the case of a 4-month-old male patient diagnosed with both VSD and TAR syndrome. We describe the surgical management of the VSD as well as the perioperative treatment for hemorrhagic diathesis.
Downloads
References
Cowan J, Parikh T, Waghela R, Mora R. Thrombocytopenia with absent radii (TAR) syndrome without significant thrombocytopenia. Cureus. 2020;12:e10557. doi: 10.7759/cureus.10557. DOI: https://doi.org/10.7759/cureus.10557
Roberts I, Stanworth S, Murray NA. Thrombocytopenia in the neonate. Blood Rev. 2008;22:173-86. DOI: https://doi.org/10.1016/j.blre.2008.03.004
Lambert MP. Inherited platelet disorders: a modern approach to evaluation and treatment. Hematol Oncol Clin North Am. 2019;33:471-87. DOI: https://doi.org/10.1016/j.hoc.2019.01.008
Kumar C, Sharma D, Pandita A, Bhalerao S. Thrombocytopenia absent radius syndrome with tetralogy of Fallot: a rare association. Int Med Case Rep J. 2015;8:81-5. DOI: https://doi.org/10.2147/IMCRJ.S81770
Greenhalgh KL, Howell RT, Bottani A, Ancliff PJ, Brunner HG, Verschuuren-Bemelmans CC, et al. Thrombocytopenia-absent radius syndrome: a clinical genetic study. J Med Genet. 2002;39:876-81. DOI: https://doi.org/10.1136/jmg.39.12.876
Downloads
- 151 2302
Published
Issue
Section
How to Cite
License
Copyright (c) 2024 Hande İştar, Buğra Harmandar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.