“…The CHD that result from exposure to elevated homocysteine, especially those effecting the outflow tract, are likely to be related to the impact that homocysteine has upon the development of the cardiac neural crest, (Brauer and Rosenquist, 2002;Boot et al, 2003Boot et al, , 2004Boot et al, , 2006Tierney et al, 2004;Rosenquist et al, 2007;Heidenreich et al, 2008). A number of biological, chemical, and genetic mechanisms have been postulated for the teratogenic effect of homocysteine during heart development, some of which have been reviewed previously van Mil et al, 2010).…”