We report on a neonate with deletion 22q11 (de122q11) presenting with
facial dysmorphism, ocular coloboma, congenital heart defect, urogenit
al malformations, and unilateral radial aplasia. This malformation com
plex includes features frequently occurring in velocardiofacial syndro
me as well as findings described in the CHARGE and VACTERL association
s. To our knowledge, the present case is the first report of radial ap
lasia in de122q11. This observation further supports and extends the c
linical variability of de122q11.