Case Report Volume 14 Issue 8 - 2025

Novel Bi-Allelic Mutations in the RPL3L Gene Causing Severe Neonatal Dilated Cardiomyopathy

Alfonso Ortigado1,2*, Elisa Castaño1, María Alejandra Caicedo1, Antonio Cartón3, Álvaro González-Rocafort4 and Juvenal Rey4

1Department of Pediatrics, University Guadalajara Hospital, Spain

2Faculty of Medicine, Alcalá University, Spain

3Department of Pediatric Cardiology, University La Paz Hospital, Madrid, Spain

4Congenital Cardiac Surgery Department, University La Paz Hospital, Madrid, Spain

*Corresponding Author: Alfonso Ortigado, Department of Pediatrics, University Guadalajara Hospital, Spain.
Received: July 15, 2025; Published: July 24, 2025



Dilated cardiomyopathy (DCM) in neonates is a rare condition with a broad differential diagnosis, including genetic etiologies. Familial forms of DCM are genetically heterogeneous, recent studies have implicated variants in RPL3L gene, encoding a ribosomal protein, in severe neonatal DCM. We report a case of fulminant heart failure with rapidly progressive neonatal dilated cardiomyopathy and multimodal support, associated with bi-allelic RPL3L variants.

 Keywords: Dilated Cardiomyopathy; RPL3L Gene; Genetic Testing; Neonatal Heart Failure; Heart Transplantation

Alfonso Ortigado., et al. “Novel Bi-Allelic Mutations in the RPL3L Gene Causing Severe Neonatal Dilated Cardiomyopathy”. EC Paediatrics  14.8 (2025): 01-04.