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F&S reports · 2026

The limits of genetic screening: trisomy 21 after euploid preimplantation genetic testing for aneuploidy and negative noninvasive prenatal testing.

Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Law Jennifer, Ramsey Kyra, Sprawka Nicole, Perdigao Joana

Аннотация

OBJECTIVE: To describe a case of false-negative preimplantation genetic testing for aneuploidy (PGT-A) and noninvasive prenatal test (NIPT) resulting in a neonate born with Down Syndrome.

DESIGN: Case report.

SUBJECTS: A 40-year-old multiparous woman with in vitro fertilization pregnancy due to a history of tubal ligation presenting to an academic medical center.

EXPOSURE: Prenatal aneuploidy screening with PGT-A and cell-free DNA.

MAIN OUTCOME MEASURES: PGT-A test was conducted on a day 5 blastocyst which resulted as euploid. Subsequent NIPT test was obtained at 10 weeks and reported low-risk results.

RESULTS: The patient underwent vacuum-assisted vaginal delivery of a liveborn male infant with features of Down Syndrome. Postnatal karyotype confirmed nonmosaic trisomy 21.

CONCLUSION: PGT-A and NIPT are powerful tools used for risk reduction, but they do not eliminate risk.