We describe an uncommon association of deletion 22q11 in a patient with Kli
nefelter syndrome. Even though congenital heart defects (CHD) are not assoc
iated with Klinefelter syndrome, further investigation of this patient with
patent ductus arteriosus showed a microdeletion of chromosome 22q11.2. Whi
le this finding may be coincidental, it is important to further evaluate pa
tients when the clinical features are suggestive of a secondary abnormality
. (C) 2000 Editions scientifiques et medicales Elsevier SAS.