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Human Reproduction, Vol. 13, No. 10, 2745-2747, October 1998
© 1998 European Society of Human Reproduction and Embryology

Case report: One normal child and a chromosomally balanced/normal twin after intracytoplasmic sperm injection in a male with a de-novo t(Y;16) translocation

J.C. Giltay1, C.H.J. Tiemessen2, W.G. van Inzen2 and J.M.J.C. Scheres1

1 Clinical Genetics Center, Utrecht, The Netherlands 2 Elisabeth Hospital, Tilburg, The Netherlands

Correspondence: To whom correspondence should be addressed at: PO Box 18009, 3501 CA, Utrecht, The Netherlands

A balanced translocation t(Y;16)(q11.21;q24) is described in a male with severe oligoasthenoteratozoospermia (OAT). Before having a chromosome investigation, the patient and his partner had undergone intracytoplasmic sperm injection (ICSI) treatment resulting in the birth of a healthy 46,XX child. After detection of the t(Y;16) translocation, the couple opted for further ICSI treatment, although they were extensively counselled on the risk of having chromosomally unbalanced offspring. This treatment resulted in a twin pregnancy, one with a 46,XX karyotype and the other a 46,X,t(Y;16) (q11.21;q24) karyotype, the same as the father. After an uncomplicated pregnancy two healthy children were born. We conclude that patients with a Y/autosome translocation as a cause of OAT can have chromosomally normal children after ICSI treatment.

Key words: chromosomal abnormalities/ICSI/male infertility/oligoasthenoteratozoospermia (OAT)/Y;autosome translocation


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