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Genes Associated with Thoracic Aortic Aneurysm and Dissection: 2019 Update and Clinical Implications
Thais Faggion Vinholo1, Adam J Brownstein2, Bulat A Ziganshin1,3
1Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut.
Genetic research has identified 37 genes linked to familial thoracic aortic aneurysm and dissection (TAAD). This advances personalized aortic care and surgical intervention strategies for this typically silent, lethal disease.
Area of Science:
- Cardiovascular Genetics
- Aortic Diseases
- Medical Genetics
Background:
- Thoracic aortic aneurysm (TAA) is a dangerous condition often presenting without symptoms.
- Familial inheritance patterns of TAAD have been recognized for nearly two decades.
- Significant progress has been made in identifying genetic factors contributing to TAAD.
Purpose of the Study:
- To provide an annual update on genes associated with thoracic aortic aneurysm and dissection (TAAD).
- To discuss the clinical implications of these genetic findings for surgical management.
- To highlight the role of molecular genetics in advancing personalized aortic care.
Main Methods:
- Review of recently identified genes linked to TAAD.
- Analysis of the prevalence of pathogenic mutations in familial nonsyndromic TAAD.
- Synthesis of genetic discoveries and their impact on clinical practice.
Main Results:
- At least 37 genes have been identified as causing TAAD.
- Approximately 30% of patients with familial nonsyndromic TAAD carry a pathogenic mutation.
- Ongoing research continues to expand the catalog of TAAD-associated genes.
Conclusions:
- Genetic understanding of TAAD has rapidly evolved.
- Identification of specific gene mutations allows for more personalized patient care.
- Molecular genetics is crucial for guiding surgical interventions in TAAD patients.
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