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Table 1 Brief review of nMFS cases in the last 20 years. NA: not available

From: Neonatal Marfan syndrome: a case report of a novel fibrillin 1 mutation, with genotype-phenotype correlation and brief review of the literature

Author, year

Sex

GA (weeks)

Delivery mode

Birthweight (centile) / Length (centile) / Head circumference (centile)

Mitral valve insufficiency / prolapse

Tricuspid valve insufficiency / prolapse

Aortic root dilation / Aortic valve regurgitation

Cardiac procedures

Molecular findings

Inheritation pattern

Age at last follow-up visit, outcome

Jacobs et al., 2002

F

At term

Vaginal delivery

2615 g (10th) / 52 cm (90th) / 32.5 cm (5th-10th)

Yes

Yes

Yes

Not performed

FBN1, T3276C, exon 24

NA

3.5 months, died

Shinawi et al., 2005

M

At term

Cesarean section

2880 g (25th) / 56 cm (> 95th) / NA

Yes

Yes

No

Balloon dilatation of pulmonary valve (4 days)

FBN1, IVS31-2 A > G, intron 31

NA

4.5 months, died

Ramaswamy et al., 2006

NA

At term

NA

3600 (75th) / 52 cm (75th)

Yes

Yes

Yes

Mitral valve repair (10 months)

NA

NA

15 months, alive

Sutherell et al., 2007

M

At term

NA

3300 (25th) / 51.5 cm (75th) / 34.5 cm (25th)

Yes

Yes

Yes

Medical treatment

FBN1, novel missense mutation, c.3256T > C, exon 26

De novo

4 days, died

Tekin et al., 2007

M

40

NA

3650 g (50th) / NA / NA

Yes

Yes

Yes

Medical treatment

NA

NA

3 months, died

Kochilas et al., 2008

F

37

Cesarean section

2900 g / NA / NA

Yes

Yes

Yes

Palliative care

FBN1, heterozygous 3256T > C, exon 26

De novo

69 days, died

Brito-Filho et al., 2013

M

At term

Cesarean section

3630 g / 51 cm / NA

Yes

Yes

Yes

Bentall-De Bono procedure (2 years), two mitral valve replacements (4 and 7 years)

NA

NA

7 years, alive

Šípek Jr. et al., 2014

F

40

Vaginal delivery

3670 (75th) / 53 cm (97th) / 34,5 (50th)

Yes

Yes

No

Medical treatment

FBN1, novel intronic c.4211-32_-13 del mutation, exon 35

Maternally inherited (mosaicism)

7 months, died

Elshershari & Harris, 2014

M

At term

NA

3200 g (25th) / 51 cm (50th) / NA

Yes

No

Yes

Medical treatment

FBN1, a heterozygous c.3959G. A, exon 31

Paternally inherited

3 months, alive

Amado et al., 2014

F

38

Cesarean section

3130 g (25th) / 46.5 cm (5-10th) / 35.5 cm (50-75th)

Yes

Yes

Yes

Mitral valvuloplasty (6 months)

FBN1, c.3458 G > A, exon 26

De novo

2 years and 10 months, alive

Ozyurt et al., 2015

F

39

Vaginal delivery

NA / NA / NA

Yes

Yes

Yes

Medical treatment

Not performed

NA

68 days, died

Bhutia et al., 2016

NA

At term

Vaginal delivery

NA / NA / NA

Yes

Yes

Yes

Medical treatment

Not performed

NA

3 months, died

Kitahara et al., 2016

M

38

Cesarean section

2295 g / 43.7 cm / NA

Yes

No

Yes

Mitral commissuroplasty (18 months), palliative procedure (3 years and 8 months)

NA

NA

11 years, alive

Le Gloan et al., 2016

F

39

Cesarean section

2950 g (-0.5 SD) / 50 cm (0 SD) / 33.5 cm (-1 SD)

Yes

Yes

Yes

Mitral and tricuspid valve annuloplasty (2 months)

FBN1, intronic mutation c.6163 + 3_6163 + 6del, exon 49

Maternally inherited

4 months, died

Maeda, 2016

M

40

NA

3768 g (90-97th) / 52.9 cm (> 97th) / NA

Yes

No

Yes

Medical treatment

FBN1, missense mutation (c. 3217 G > A), exon 26

NA

7 months, died

Maeda, 2016

F

37

Cesarean section

2850 g (25-50th) / NA / NA

Yes

Yes

No

Mitral and tricuspid valve annuloplasty (5 months); mitral valve replacement(12 months)

FBN1, exon-skipping mutation (c.IVS29 + 1G > A), exon 29

NA

22 months, died

Maeda, 2016

F

37

Cesarean section

2592 g (10-25th) / 50 cm (50-75th) / NA

Yes

Yes

No

Mitral and tricuspid valve annuloplasty (1 month)

FBN1, exon-skipping mutation (c.IVS30 + 1G > A), exon 30

NA

2 months, died

Peng et al., 2016

F

At term

Vaginal delivery

2600 g / NA / NA

Yes

Yes

Yes

NA

FBN1 missense mutation c.3331 T > C (p.Cys1111Arg), exon 26

De novo

8 months, alive

Heo et al., 2017

M

36

Vaginal delivery

3000 g (75-90th) / 54.5 cm (> 99th) / 35.5 cm (99th)

Yes

No

Yes

Surgical repair of rupture of mitral chordae (6 months)

FBN1, missense mutation (c. 3217 G > A), exon 26

NA

NA

Solé-Ribalta et al., 2019

NA

36

NA

NA / NA / NA

Yes

Yes

Yes

Palliative care

FBN1, heterozygous mutation (NM_000138.4): c.[3208 + 5G > A)

De novo

1 month, died

Tognato et al., 2019

M

At term

Cesarean section

3690 g (70th) / 56 cm (100th) / 36 cm (86th)

Yes

Yes

Yes

Mitral and tricuspidal valvuloplasty (11 months)

FBN1, heterozygous mutation c.3143 T > C (p.Ile1048Thr) w

NA

3 months, alive

Wojcik et al., 2019

NA

40

Vaginal delivery

NA

Yes

No

Yes

Aortic root replacement (3 months); mitral and tricuspid annuloplasty (12 months)

FBN1, heterozygous 385 bp deletion[GRCh38, exon 33

De novo

3 years, died

Veiga-Fernández et al., 2020

NA

37

Cesarean section

2530 g / NA / NA

Yes

No

No

Palliative care

NA

NA

3 months, died

Postma et al., 2021

F

32

Cesarean section

1710 g / NA / NA

Yes

Yes

Yes

Mitral annuloplasty and tricuspid commisuroplast (7 months)

FBN1, heterozygous splice site variant, IVS21 + 2T > C, exon15

Paternally inherited

14months, died

Yoon and Kong, 2021

M

40

Cesarean section

3560 g (75th) / 56.5 cm (90th) / 36 cm (90th)

Yes

No

No/Yes

Palliative care

FBN1, c.3964 + 1G > T, exon 32

NA

32 days, died

Motonaga et al., 2022

F

40

Vaginal delivery

3008 g / NA / NA

Yes

No

Yes

Mitral valve replacement (6 months)

FBN1,heterozygous missense variant (c.3379G > T), exon27

De novo

16 years, alive

Kawamura et al., 2022

M

38

Vaginal delivery

NA

Yes

Yes

No

Mitral and tricuspid valvuloplasty (6 months); mitral valve and tricuspid valve replacement (7 months)

FBN1, heterozygous missense variant of c.3706T > C (p. Cys1236Arg), exon 29

NA

13 months, alive