PMID- 20186810 OWN - NLM STAT- MEDLINE DCOM- 20100412 LR - 20200930 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 152A IP - 3 DP - 2010 Mar TI - Prenatal diagnosis of a recombinant chromosome 7 resulting in trisomy 7q11.22 --> qter. PG - 721-5 LID - 10.1002/ajmg.a.33238 [doi] AB - Prenatal diagnosis of trisomy 7 is complex due to only a few reported cases. We report here on a stillborn boy with very large duplication of 7q11.22 --> qter, encompassing almost the entire long arm of chromosome 7. Ultrasound, fetal and parental chromosome banding, fluorescence in situ hybridization (FISH), and array comparative genomic hybridization (CGH) analyses were performed. Sonographic findings included growth retardation, micrognathia, ventricular septal defect (VSD), aortic coarctation, bradyarrhythmia, pericardial effusion, bilateral hydronephrosis, infravesical obstruction, and cerebellar hypoplasia. Chromosome analysis after cordocentesis at 23 weeks of gestation revealed an abnormal male karyotype with 46 chromosomes and a derivative chromosome 7 with a very large duplication of the long arm, 46,XY,der(7)(qter --> q11.2::p22 --> qter). The mother was found to carry an apparently balanced pericentric inversion, 46,XX,inv(7)(p22q11.2). Thus, the recombinant chromosome 7 [rec(7)dup(7q)inv(7)(p22.3q11.22)mat] of the fetus must have arisen through meiotic crossing-over between the inverted chromosome and the normal chromosome 7 in the maternal germline. FISH and array CGH results confirmed the recombinant chromosome 7 in the fetus and indicated a loss of 1.9 Mb at chromosome 7pter --> p22.3 (pter to 1,948,072 bp), and a gain of 87.04 Mb at chromosome 7q11.22 --> qter (71,760,154 bp to qter). The rare syndrome of almost complete trisomy 7q may be suspected in cases of growth retardation, cerebellar hypoplasia, micrognathia, aortic coarctation and VSD and hydronephrosis. Invasive prenatal diagnosis must be offered to the parents. CI - (c) 2010 Wiley-Liss, Inc. FAU - Tchirikov, M AU - Tchirikov M AD - Department of Obstetrics and Fetal Medicine, University Medical Center Mainz, Mainz, Germany. tchirikov@uni-mainz.de FAU - Merinsky, A AU - Merinsky A FAU - Strohner, M AU - Strohner M FAU - Bonin, M AU - Bonin M FAU - Beyer, V AU - Beyer V FAU - Haaf, T AU - Haaf T FAU - Bartsch, O AU - Bartsch O LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Abnormalities, Multiple/diagnosis/*genetics MH - Chromosome Banding MH - Chromosome Inversion MH - Chromosomes, Human, Pair 7/*genetics MH - Comparative Genomic Hybridization MH - Female MH - Fetal Growth Retardation/genetics MH - Heart Defects, Congenital/genetics MH - Humans MH - Hydronephrosis/genetics MH - In Situ Hybridization, Fluorescence MH - Male MH - Micrognathism/genetics MH - Pregnancy MH - *Prenatal Diagnosis MH - Recombination, Genetic MH - Stillbirth/genetics MH - *Trisomy MH - Young Adult EDAT- 2010/02/27 06:00 MHDA- 2010/04/13 06:00 CRDT- 2010/02/27 06:00 PHST- 2010/02/27 06:00 [entrez] PHST- 2010/02/27 06:00 [pubmed] PHST- 2010/04/13 06:00 [medline] AID - 10.1002/ajmg.a.33238 [doi] PST - ppublish SO - Am J Med Genet A. 2010 Mar;152A(3):721-5. doi: 10.1002/ajmg.a.33238.