Myocardial Infarction Resulting from Coronary Artery dissection in an Adolescent with Ehlers-Danlos Syndrome Type IV Due to a Type III Collagen Mutation | oneedsvoice

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Myocardial Infarction Resulting from Coronary Artery dissection in an Adolescent with Ehlers-Danlos Syndrome Type IV Due to a Type III Collagen Mutation

key information

source: British Heart Journal

year: 1995

authors: Ad├Ęs LC, Waltham RD, Chiodo AA, Bateman JF

summary/abstract:

Ehlers-Danlos syndrome encompasses a group of inherited disorders of connective tissue, some of which are characterised by abnormalities of collagen metabolism. The chromosomal location, identified genes and biochemical defects, inheritance pattern, and clinical features for the various known subtypes are outlined. Prenatal diagnosis is possible for types IV, VI, VIIA, and VIIA. An unusual presentation of type IV Ehlers-Danlos syndrome in a 16 year old boy with an anterior myocardial infarction resulting from dissection of the left anterior descending coronary artery is reported here. A clinical diagnosis of type IV Ehlers-Danlos syndrome was made subsequently and confirmed by the reduced production, impaired secretion, and abnormally slow electrophoretic migration of type III collagen, indicating an underlying mutation in the COL3A1 gene. This patient represents the first case of type IV Ehlers-Danlos syndrome with symptomatic coronary artery dissection.

organisation: Women's and Children's Hospital

DOI: 10.1136/hrt.74.2.112

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