Case Report: Dual molecular diagnosis in complex congenital heart disease in an Ecuadorian patient with supravalvar aortic stenosis and pulmonary valve stenosis carrying pathogenic variants in ELN and BRAF gene - Summary - MDSpire

Case Report: Dual molecular diagnosis in complex congenital heart disease in an Ecuadorian patient with supravalvar aortic stenosis and pulmonary valve stenosis carrying pathogenic variants in ELN and BRAF gene

  • By

  • Santiago Cadena-Ullauri

  • Viviana A. Ruiz-Pozo

  • Rafael Tamayo-Trujillo

  • Patricia Guevara-Ramírez

  • Elius Paz-Cruz

  • Rodrigo Bossano R

  • Miguel Hinojosa

  • Paul Onofre-Ruiz

  • Ana Karina Zambrano

  • July 13, 2026

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Objective:

To present a case of an Ecuadorian girl with congenital supravalvar aortic stenosis and pulmonary valve stenosis, identifying genetic variants associated with these conditions and their potential implications.

Approach:
  • Case Presentation: An Ecuadorian girl was evaluated for congenital heart disease, underwent surgical correction, and had genomic analysis revealing pathogenic variants in ELN and BRAF, with the surgical outcomes noted.
Key Findings:
  • Pathogenic variants in ELN and BRAF were identified in the patient.
  • The case highlights the potential role of genetic testing in understanding complex congenital heart diseases.
  • Ancestry analysis revealed a diverse genetic background in the patient.
Interpretation:

The findings indicate a multilocus genetic contribution to the patient's congenital heart condition.

Limitations:
  • Causality cannot be established from a single case report.
  • Further evidence is required to understand the biological implications of the identified variants in the context of congenital heart disease.
Conclusion:

Comprehensive genomic evaluation can enhance the understanding of congenital heart diseases and support precision medicine approaches.

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