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Genetic aortopathies: a case-based approach to multidisciplinary program development.

Christopher P Jordan1, Akos Berthold2, Jason Bonomo3

  • 1Pediatric Cardiology.

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|April 23, 2024
PubMed
Summary
This summary is machine-generated.

Genetic counseling and testing are crucial for managing thoracic aortic disease, especially in younger patients and those with a family history. Early identification of genetic factors can improve outcomes and reduce dissection risks.

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Area of Science:

  • Cardiovascular Genetics
  • Aortic Diseases
  • Genetic Counseling

Background:

  • Thoracic aortic disease (TAD) management requires understanding its genetic underpinnings.
  • A significant portion of TAD cases, particularly in individuals under 60, exhibit heritable patterns.

Purpose of the Study:

  • To emphasize the importance of genetic counseling and testing in the evaluation and management of TAD.
  • To highlight the role of genetics in identifying individuals at risk for acute type-A aortic dissection.

Main Methods:

  • Review of current literature on genetic factors in thoracic aortic disease.
  • Emphasis on collaborative approaches involving multidisciplinary teams.

Main Results:

  • Up to 20% of thoracic aortic disease cases in individuals under 60 show autosomal dominant inheritance.
  • Many heritability factors contributing to TAD remain unidentified.

Conclusions:

  • Genetic aortopathy programs necessitate collaboration among cardiovascular specialists, surgeons, medical geneticists, and genetic counselors.
  • Comprehensive evaluation, including detailed phenotypic data collection, is vital for identifying new genes and risk factors.
  • These programs aim to optimize patient outcomes and decrease the population burden of acute aortic dissection.