%0 Journal Article %T Biallelic PKP2 loss of function variants are associated with a lethal perinatal-onset biventricular dilated cardiomyopathy with excessive trabeculations and ventricular septal defects. %A Gibb J %A Wall E %A Fields E %A Seale A %A Armstrong C %A Bamber A %A Daubeney P %A Jacobs-Pearson M %A Marton T %A Stals K %A Low K %A Kaski JP %A Spentzou G %J J Med Genet %V 61 %N 4 %D 2024 Mar 21 %M 38050058 %F 5.941 %R 10.1136/jmg-2023-109493 %X Homozygous plakophilin-2 (PKP2) variants have been identified as a cause of a lethal form of dilated cardiomyopathy with excessive trabeculations (DCM-ET) in three cases. We report three more cases from two families with homozygous pathogenic PKP2 variants and perinatal-onset, lethal DCM-ET. Identification of the genetic abnormalities played a key role in decision-making and family counselling in these cases. This case series supports the published evidence that biallelic loss of function PKP2 variants cause a lethal, perinatal-onset cardiomyopathy.