Partial trisomy 4q and partial monosomy 9p in a girl with choanal atresia and various dysmorphic findings

•We report a girl with choanal atresia, heart defects and many dysmorphic findings.•Her karyotype was found 46,XX,der(9)t(4;9)(q28;p24).•Gain for 4q28.1-4q35.2 and loss for 9p24.3 have been identified with array-CGH.•Case has been discussed and compared with the existing literature.•The genes in deletion region discussed for genotype–phenotype correlation.

We report a new-born girl with partial trisomy of 4q28-qter and partial monosomy of 9p24-9ter. Our patient has choanal atresia, hypertelorism, wide nasal bridge, high arched palate, discrete nipples, heart defects, myoclonic seizures and various dysmorphic findings. Standard chromosomal analysis with G-banding with Trypsin-Giemsa revealed 46,XX,der(9)t(4;9)(q28;p24) resulting from the mother's t(4,9) (q28;p24) karyotype. Deletions of the terminal part of 9p and partial trisomy of chromosome 4q are rare chromosomal alterations. To our knowledge, this is the first report of choanal atresia in a patient with a partial trisomy of 4q28-qter and partial monosomy 9p24-9ter combination, which were detected by integrated cytogenetic and genomic analysis.