Klippel-Feil Syndrome Associated with Congenital Heart Disease

Introduction: Klippel-Feil Syndrome (KFS) is a rare congenital disorder characterized by the fusion of two or more cervical vertebrae, which can lead to various complications, including congenital heart disease (CHD). A recent study published in the Journal of Cardiology & Cardiovascular Medicine explores the prevalence of CHD in children with KFS, presenting five case studies that highlight the clinical presentation, diagnosis, and management challenges in resource-limited settings.

Understanding Klippel-Feil Syndrome and Its Implications

  • KFS was first described in 1912 and is characterized by a short neck, restricted neck mobility, and a low posterior hairline.
  • It often presents with other congenital anomalies, including CHD, skeletal deformities, and neurological complications.
  • CHD in KFS patients can range from atrial septal defects to complex conditions requiring surgical intervention.

Case Studies: KFS and Congenital Heart Disease This study examined five cases of KFS-associated CHD in children from Kosovo:

  1. Case 1: A newborn male with total anomalous pulmonary venous return requiring surgical correction.
  2. Case 2: A 28-month-old female diagnosed with an atrial septal defect, successfully treated with surgical intervention.
  3. Case 3: A neonate with transposition of the great arteries, unfortunately succumbing due to limited surgical options.
  4. Case 4: A 12-year-old girl diagnosed with pulmonary stenosis and vertebral fusion anomalies.
  5. Case 5: A 5-day-old male with tetralogy of Fallot, successfully treated with corrective surgery abroad.

Future Directions and Clinical Implications

  • Increased awareness among healthcare providers can lead to earlier diagnosis and improved management strategies.
  • Genetic testing may provide insights into the hereditary patterns of KFS-associated CHD.
  • Strengthening cardiac surgical capabilities in resource-limited settings is crucial for improving patient outcomes.

Final Thoughts and Call to Action Klippel-Feil Syndrome remains an underdiagnosed condition, often associated with severe congenital anomalies like CHD. Early recognition and multidisciplinary care are essential for improving patient prognoses.

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