Abstract
The possibility of an etiological relationship between rubella embryopathy and sporadic forms of supravalvular aortic stenosis is considered. A case is presented of a patient with rubella embryopathy and supravalvular aortic stenosis associated with pulmonary valvular and peripheral pulmonary artery stenosis, bicuspid aortic valve, aortic valve stenosis and subendothelial myocardial fibrosis. A review of the literature revealed many clinical and pathological features common to both syndromes. The hypothesis that rubella virus produced germ-cell mutation and subsequent persistence of rubella in the zygote produced further fetal damage is presented to explain these observations.
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- Achs R., Harper R. G., Siegel M. Unusual dermatoglyphic findings associated with rubella embryopathy. N Engl J Med. 1966 Jan 20;274(3):148–150. doi: 10.1056/NEJM196601202740307. [DOI] [PubMed] [Google Scholar]
- Ainger L. E., Lawyer N. G., Fitch C. W. Neonatal rubella myocarditis. Br Heart J. 1966 Sep;28(5):691–697. doi: 10.1136/hrt.28.5.691. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BOURASSA M. G., CAMPEAU L. COMBINED SUPRAVALVULAR AORTIC AND PULMONIC STENOSIS. Circulation. 1963 Oct;28:572–581. doi: 10.1161/01.cir.28.4.572. [DOI] [PubMed] [Google Scholar]
- CAMPBELL P. E. VASCULAR ABNORMALITIES FOLLOWING MATERNAL RUBELLA. Br Heart J. 1965 Jan;27:134–138. doi: 10.1136/hrt.27.1.134. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chantler C., Davies D. H., Joseph M. C. Cardiovascular and other associations of infantile hypercalcaemia. Guys Hosp Rep. 1966;115(2):221–241. [PubMed] [Google Scholar]
- DENIE J. J., VERHEUGT A. P. Supravalvular aortic stenosis. Circulation. 1958 Nov;18(5):902–908. doi: 10.1161/01.cir.18.5.902. [DOI] [PubMed] [Google Scholar]
- FRANCH R. H., GAY B. B., Jr CONGENITAL STENOSIS OF THE PULMONARY ARTERY BRANCHES. A CLASSIFICATION, WITH POSTMORTEM FINDINGS IN TWO CASES. Am J Med. 1963 Oct;35:512–529. doi: 10.1016/0002-9343(63)90149-9. [DOI] [PubMed] [Google Scholar]
- Fay J. E., Lynn R. B., Partington M. W. Supravalvular aortic stenosis, mental retardation and a characteristic facies. Can Med Assoc J. 1966 Feb 5;94(6):295–297. [PMC free article] [PubMed] [Google Scholar]
- LOGAN W. F., JONES E. W., WALKER E., COULSHED N., EPSTEIN E. J. FAMILIAL SUPRAVALVAR AORTIC STENOSIS. Br Heart J. 1965 Jul;27:547–559. doi: 10.1136/hrt.27.4.547. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lewis A. J., Ongley P. A., Kincaid O. W., Ritter D. G. Supravalvular aortic stenosis. Report of a family with peculiar somatic features and normal intelligence. Dis Chest. 1969 May;55(5):372–379. doi: 10.1378/chest.55.5.372. [DOI] [PubMed] [Google Scholar]
- Nusbacher J., Hirschhorn K., Cooper L. Z. Chromosomal abnormalities in congenital rubella. N Engl J Med. 1967 Jun 22;276(25):1409–1413. doi: 10.1056/NEJM196706222762505. [DOI] [PubMed] [Google Scholar]
- Ottesen O. E., Antia A. U., Rowe R. D. Peripheral vascular anomalies associated with the supravalvular aortic stenosis syndrome. Radiology. 1966 Mar;86(3):430–435. doi: 10.1148/86.3.430. [DOI] [PubMed] [Google Scholar]
- PEROU M. L. Congenital supravalvular aortic stenosis. A morphological study with attempt at classification. Arch Pathol. 1961 Apr;71:453–466. [PubMed] [Google Scholar]
- ROWE R. D. MATERNAL RUBELLA AND PULMONARY ARTERY STENOSES. REPORT OF ELEVEN CASES. Pediatrics. 1963 Aug;32:180–185. [PubMed] [Google Scholar]
- Rastelli G. C., McGoon D. C., Ongley P. A., Mankin H. T., Kirklin J. W. Surgical treatment of supravalvular aortic stenosis. Report of 16 cases and review of literature. J Thorac Cardiovasc Surg. 1966 Jun;51(6):873–882. [PubMed] [Google Scholar]
- SISSMAN N. J., NEILL C. A., SPENCER F. C., TAUSSIG H. B. Congenital aortic stenosis. Circulation. 1959 Mar;19(3):458–468. doi: 10.1161/01.cir.19.3.458. [DOI] [PubMed] [Google Scholar]
- WILLIAMS J. C., BARRATT-BOYES B. G., LOWE J. B. Supravalvular aortic stenosis. Circulation. 1961 Dec;24:1311–1318. doi: 10.1161/01.cir.24.6.1311. [DOI] [PubMed] [Google Scholar]
- Way R. C. Cardiovascular defects and the rubella syndrome. Can Med Assoc J. 1967 Nov 25;97(22):1329–1334. [PMC free article] [PubMed] [Google Scholar]







