Objective: To explore the clinical phenotype and genetic basis for a fetus suspected for Coffin-Siris syndrome.
Methods: Chromosomal microarray analysis (CMA) and whole exome sequencing (WES) were carried out for the fetus. Candidate variant was verified by Sanger sequencing.
Results: Prenatal ultrasound at 23rd gestational week has revealed fetal ventriculomegaly. No abnormality was found by CMA, while WES revealed that the fetus has harbored a de novo heterozygous c.2851G>A (p.G951R) variant of the SMARCA4 gene, which was predicted to be pathogenic.
Conclusion: Genetic testing should be considered for fetuses featuring progressive widening of lateral cerebral ventricles.