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Diagnosis and Management of Aortic Disease

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25 Table 7. TAA Syndromes and Conditions Attributable to a Heritable or Genetic Cause Condition Gene Clinical Features Syndromic HTAD* Marfan syndrome FBN1 Aortic root aneurysm, aortic dissection, TAA, MVP, long bone overgrowth, arachnodactyly, dolichostenomelia, scoliosis, pectus deformities, ectopia lentis, myopia, tall stature, pneumothorax, dural ectasia Loeys-Dietz syndrome TGFBR1, TGFBR2, SMAD3, † TGFB2, TGFB3 TAA, branch vessel aneurysms, aortic dissection, arterial tortuosity, MVP, craniosynostosis, hypertelorism, bluish sclera, bifid/broad uvula, translucent skin, visible veins, club feet, dural ectasia, and premature osteoarthritis and peripheral neuropathy † Vascular Ehlers-Danlos syndrome COL3A1 TAA, AAA, arterial rupture, aortic dissection, MVP, bowel and uterine rupture, pneumothorax, translucent skin, atrophic scars, small joint hypermobility, easy bruising, carotid-cavernous fistula Arterial tortuosity syndrome SLC2A10 Tortuous large and medium sized arteries, aortic dilation, craniofacial, skin and skeletal features Shprintzen- Goldberg syndrome SKI Craniosynostosis, skeletal features, aortic dilation Ehlers-Danlos syndrome with periventricular nodular heterotopia FLNA X-linked, periventricular nodular heterotopia, TAA, BAV, MV disease, PDA, VSD, seizures, joint hypermobility Meester-Loeys syndrome BGN X-linked, TAA, aortic dissection, MV disease LOX-related TAA LOX TAA, BAV, aortic dissection, Marfanoid habitus in some Smooth muscle dysfunction syndrome ACTA2 TAA, moyamoya-like cerebrovascular disease, pulmonary hypertension, pulmonary disease, hypoperistalsis, hypotonic bladder, congenital mydriasis

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