How to manage a congenital heart defect in a patient with thrombocytopenia-absent radius syndrome?

TAR syndrome and heart defect

Authors

Keywords:

Thrombocytopenia-absent radius syndrome, TAR syndrome, ventricular septal defect, infant

Abstract

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.

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Author Biography

Buğra Harmandar, Department of Cardiovascular Surgery, Muğla Sıtkı Koçman University Medical Faculty, Muğla, Turkey

Muğla Sıtkı Koçman University Medical Faculty, Department of Cardiovascular Surgery

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

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Published

2024-04-20

Issue

Section

Case Report

How to Cite

1.
İştar H, Harmandar B. How to manage a congenital heart defect in a patient with thrombocytopenia-absent radius syndrome? TAR syndrome and heart defect. J Surg Med [Internet]. 2024 Apr. 20 [cited 2024 Nov. 23];8(4):78-80. Available from: https://jsurgmed.com/article/view/7580