We describe a 7 1/2-year-old girl with mildly unusual phenotype and complex
heart disease including ventricular myocardial noncompaction. She was foun
d to have a distal 5q deletion, del(5)(q35.1q35.3). Fluorescent in situ hyb
ridization showed that this deletion included the locus for the cardiac spe
cific homeobox gene, CSX. This suggests that some instances of ventricular
myocardial noncompaction may be caused by haploinsufficiency of CSX. (C) 19
99 Wiley-Liss, Inc.