Human Reproduction, Vol. 15, No. 1, 135-138,
January 2000
© 2000 European Society of Human Reproduction and Embryology
Successful in-vitro fertilization pregnancy with spermatozoa from a patient with Kartagener's syndrome: Case Report
1 Department of Obstetrics and Gynaecology, Royal Infirmary of Edinburgh, 1 Lauriston Place, Edinburgh EH3 9EF and 2 MRC Reproductive Biology Unit, Centre for Reproductive Biology, Edinburgh, UK
This paper reports on the successful treatment by in-vitro fertilization (IVF) of a couple in whom the male partner had Kartagener's syndrome. His spermatozoa were severely asthenozoospermic with deficient dynein arms and disordered microtubular configuration. On computer-assisted sperm analysis (CASA) motile spermatozoa displayed straight non-progressive motility with minimal amplitude of lateral head displacement and none were hyperactivated. This is the first case report in which spermatozoa with axonemal disruption in a man with immotile cilia syndrome (ICS) have been shown to be able to penetrate the zona pellucida and fertilize oocytes. IVF may be a suitable treatment for certain variants of ICS.
Key words: dynein arm deficiency/immotile cilia syndrome/immotile spermatozoa/Kartagener's syndrome
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