Table 2.
Patient | Age at Enrollment | Time to rWGS Result | Clinical Features | Sequencing | Molecular Findings | Diagnosis | Diagnostic Test * | Incidental Findings | Change in Management | Deceased | Consented to Further Research | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
rWGS | Other | Prior to Result | After Result | ||||||||||
1 | 3 days | 11 days | Dandy-Walker malformation, eye abnormalities, congenital heart disease, sacral anomalies, coagulopathy | Trio |
CAPN15 compound heterozygosity [hg19] chr16:84116-692192, del(16p13.3); CAPN15 (c.2594T>C, p.Leu865Pro) PKP2 heterozygosity (c.235C>T, p.Arg79Ter) |
Oculogastrointestinal neurodevelopmental disorder | X | microarray | X | familial cascade testing, cardiac surveillance | X | X | |
2 | 3 days | 9 days | cleft lip, microcephaly, eye anomalies, brain anomalies, Dandy-Walker malformation, congenital heart disease, heterotaxy, skeletal anomalies, single umbilical artery, skin abnormalities | Trio | Mosaic terminal loss 13q [hg19] chr13:35,073,749-115,107,733 |
Mosaic monosomy 13 | blood microarray and buccal FISH | X | X | ||||
3 | 7 days | 14 days | schizencephaly, eye abnormalities, bone abnormalities, congenital heart disease | Duo (rerun as Trio) | X | ||||||||
4 | 7 days | 13 days | Hemihypertrophy vs. hemiatrophy, colonic atresia, congenital heart disease, skin abnormalities, skeletal abnormalities, sacral anomalies, single umbilical artery, club feet | Trio | X | ||||||||
5 | 6 months | 4 days | heart failure, congenital heart disease, coagulopathy, inflammatory abnormalities, subdural hemorrhage, femur fracture | Trio |
TTN de novo heterozygosity TTN (c.5253del, p.Lys17508AsnfsTer17) |
Titin-related disorders | X | X | |||||
6 | 10 days | 14 days | encephalopathy, intracranial hemorrhage, brain anomalies, congenital heart disease, hepatomegaly, hepatic failure, adrenal hyperplasia, coagulopathy, skeletal dysplasia | Trio |
GATA1 de novo heterozygosity- variant of uncertain significance GATA1 (c.529G>A, p.Gly177Arg) |
Suggestive X-linked hematologic condition; non-diagnostic given variant classification, female sex of patient, and inability to pursue further clinical testing after patient’s demise | X | X | |||||
7 | 4 days | 5 days | pectus excavatum, hypotonia, congenital heart disease, talipes equinovarus, respiratory insufficiency, cleft palate, club feet | Trio |
STAC3 homozygosity STAC3 (c.851G>C, p.Trp284Ser) |
STAC3-related congenital myopathy | X | anesthesia precautions for malignant hyperthermia risk | |||||
8 | 1 day | 15 days | congenital heart disease, lactic acidosis, intracranial hemorrhage, hyperglycemia, fractures | Trio | X |
* Indicates the test(s) that resulted in conclusive molecular diagnosis.