Isolated absent pulmonary valve syndrome with intact ventricular septum in a child with CHARGE syndrome: a rare case report and review of the literature - Report - MDSpire

Isolated absent pulmonary valve syndrome with intact ventricular septum in a child with CHARGE syndrome: a rare case report and review of the literature

  • By

  • Azzam Alqashami

  • Maryam Alkhalaf

  • Faleh Al Qahtani

  • June 18, 2026

  • 0 min

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Clinical Report: Isolated Absent Pulmonary Valve Syndrome in CHARGE Syndrome

Overview

This report presents a unique case of isolated absent pulmonary valve syndrome (APVS) with intact ventricular septum (IVS) in a newborn diagnosed with CHARGE syndrome. The patient exhibited significant cardiac and extracardiac anomalies but showed improvement following intervention.

Background

Absent pulmonary valve syndrome (APVS) is a rare congenital heart defect typically associated with tetralogy of Fallot. The occurrence of isolated APVS with intact ventricular septum is exceptionally uncommon, and its association with CHARGE syndrome has not been previously documented. Understanding this condition is crucial for early diagnosis and management, which can significantly impact patient outcomes.

Data Highlights

No numerical data available in the article.

Key Findings

Rephrase findings for clarity and ensure they are directly supported by the case report.

Clinical Implications

Early diagnosis of isolated APVS-IVS is essential for optimizing management strategies. Multidisciplinary care planning is crucial due to the complexity of associated anomalies and the potential for significant hemodynamic instability.

Conclusion

This case underscores the importance of recognizing isolated APVS-IVS within the context of CHARGE syndrome, highlighting unique developmental mechanisms and the need for tailored clinical approaches.

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  1. Pediatric Cardiology, Proceedings from the 2024 Fetal and Neonatal Cardiac Symposium in Chicago, IL -- Pediatric Cardiology
  2. Pediatric Cardiology, Pulmonary Interstitial Glycogenosis: A Potential Overlooked Cause of Persistent Pulmonary Hypertension in Newborns with Congenital Heart Defects? -- Pediatric Cardiology
  3. Pediatric Cardiology, Prenatal Identification of Isolated Persistent Left Superior Vena Cava with Absent Right Superior Vena Cava: A Case Series -- Pediatric Cardiology
  4. Pediatric Cardiology, A National Comparison of Interventional and Surgical Strategies for Pulmonary Atresia with Intact Ventricular Septum: Insights from a Comprehensive Literature Review -- Pediatric Cardiology
  5. Prenatal Diagnosis, Associations and Outcome for Fetuses with Congenital Absence of the Pulmonary Valve Syndrome - PMC -- PMC
  6. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care | Pediatrics | American Academy of Pediatrics -- Pediatrics
  7. 2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines | JACC -- JACC
  8. Prenatal Diagnosis, Associations and Outcome for Fetuses with Congenital Absence of the Pulmonary Valve Syndrome - PMC
  9. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care | Pediatrics | American Academy of Pediatrics
  10. 2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines | JACC

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