Review Article

A Case Based Approach to Clinical Genetics of Thoracic Aortic Aneurysm/Dissection

Table 1

Nonsyndromic and main syndromic disorders associated with thoracic aortic aneurysm.

ClassificationFrequencyGene nameGene symbolInher.

Nonsyndromic
Aortic aneurysm, familial thoracic 1 (AAT1)RareChr.11q23.3-q24AD
Aortic aneurysm, familial thoracic 1 (AAT2)RareChr.5q13-q14AD
Aortic aneurysm, familial thoracic 3 (AAT3)3% of TAATransforming growth factor-beta receptor, type IITGFBR2AD
Aortic aneurysm, familial thoracic 4 (AAT4)1-2% of TAAMyosin, heavy chain 11, smooth muscleMYH11AD
Aortic aneurysm, familial thoracic 5 (AAT5)2% of TAATransforming growth factor-beta receptor, type ITGFBR1AD
Aortic aneurysm, familial thoracic 6 (AAT6)10–15% of TAAActin, alpha-2, smooth muscle, and aortaACTA2AD
Aortic aneurysm, familial thoracic 7 (AAT7)1% of TAAMyosin light chain kinaseMYLKAD
Aortic aneurysm, familial thoracic 7 (AAT8)RareProtein kinase, cGMP-dependent, regulatory, and type IPRKG1AD

Syndromic
Marfan syndrome1 : 5,000–10,000Fibrillin 1FBN1AD
Loeys-Dietz syndrome 1RareTransforming growth factor-beta receptor, type ITGFBR1AD
Loeys-Dietz syndrome 2RareTransforming growth factor-beta receptor, type IITGFBR2AD
Loeys-Dietz syndrome 3 or aneurysm osteoarthritis syndromeRareMothers against decapentaplegic homolog 3SMAD3AD
Loeys-Dietz syndrome 4RareTransforming growth factor-beta 2TGFB2AD
Loeys-Dietz syndrome 5RareTransforming growth factor-beta 3TGFB3AD
Vascular Ehlers-Danlos syndrome1 : 100,000Collagen, type III, alpha-1COL3A1AD
Arterial tortuosity syndromeRareSolute carrier family 2 (facilitated glucose transporter), member 10SLC2A10AR