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The Genetics of Thoracic Aortic Aneurysms and Dissection: A Clinical Perspective
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The Genetics of Thoracic Aortic Aneurysms and Dissection: A Clinical Perspective
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Journal Article
The Genetics of Thoracic Aortic Aneurysms and Dissection: A Clinical Perspective
2020
Overview
Thoracic aortic aneurysm and dissection (TAAD) affects many patients globally and has high mortality rates if undetected. Once thought to be solely a degenerative disease that afflicted the aorta due to high pressure and biomechanical stress, extensive investigation of the heritability and natural history of TAAD has shown a clear genetic basis for the disease. Here, we review both the cellular mechanisms and clinical manifestations of syndromic and non-syndromic TAAD. We particularly focus on genes that have been linked to dissection at diameters <5.0 cm, the current lower bound for surgical intervention. Genetic screening tests to identify patients with TAAD associated mutations that place them at high risk for dissection are also discussed.
