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The many faces of aggressive aortic pathology: Loeys-Dietz syndrome

Netherlands heart journal, 2008-09, Vol.16 (9), p.299-304

Bohn Stafleu van Loghum 2008 ;ISSN: 1568-5888 ;EISSN: 1876-6250 ;DOI: 10.1007/BF03086168 ;PMID: 18827873

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  • Title:
    The many faces of aggressive aortic pathology: Loeys-Dietz syndrome
  • Author: Aalberts, J. J. J. ; van den Berg, M. P. ; Bergman, J. E. H. ; Sarvaas, G. J. du Marchie ; Post, J. G. ; van Unen, H. ; Pals, G. ; Boonstra, P. W. ; van Tintelen, J. P.
  • Subjects: Cardiology ; Medical Education ; Medicine ; Medicine & Public Health ; Original ; Original Article
  • Is Part Of: Netherlands heart journal, 2008-09, Vol.16 (9), p.299-304
  • Description: Loeys-Dietz syndrome (LDS) is a newly recognised disorder of connective tissue which shares overlapping features with Marfan syndrome (MFS) and the vascular type of Ehlers-Danlos syndrome, including aortic root dilatation and skin abnormalities. It is clinically classified into types 1 and 2. LDS type 1 can be recognised by craniofacial characteristics, e.g. hypertelorism, bifid uvula or cleft palate, whereas these are absent in LDS type 2. It is important to recognise LDS because its vascular pathology is aggressive. We describe nine LDS patients from four families, relate their features to published cases, and discuss important aspects of the diagnosis and management of LDS in order to make clinicians aware of this new syndrome. Characteristics found in the majority of these LDS patients were aortic root dilatation, cleft palate and/or a bifid/abnormal uvula. Because aortic dissection and rupture in LDS tend to occur at a young age or at aortic root diameters not considered at risk in MFS, and because the vascular pathology can be seen throughout the entire arterial tree, patients should be carefully followed up and aggressive surgical treatment is mandatory. Clinicians must therefore be aware of LDS as a cause of aggressive aortic pathology and that its distinguishing features can sometimes be easily recognised. (Neth Heart J 2008;16:299-304.).
  • Publisher: Houten: Bohn Stafleu van Loghum
  • Language: Dutch;English
  • Identifier: ISSN: 1568-5888
    EISSN: 1876-6250
    DOI: 10.1007/BF03086168
    PMID: 18827873
  • Source: SpringerOpen
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