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IllnessAortectasia, thoracic (EBM 11448)

Summary

Short information

EBM 11448-conform differential diagnostic panel for thoracic aortectasia comprising 3 guideline-curated core genes and another 6 guideline-curated core candidate genes

ID
AP0011
Number of genes
9 Accredited laboratory test
Examined sequence length
31,6 kb (Core-/Core-canditate-Genes)
- (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
Diagnostic indications

NGS +

[Sanger]

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GHeredity
ACTA21134AD
COL3A14401AD, AR
FBN18616AD
MYH115919AD
MYLK5745AD
SMAD31278AD
TGFB21245AD
TGFBR11512AD
TGFBR21704AD

Informations about the disease

Clinical Comment

Thoracic aortic aneurysms (TAA) are often associated with genetic causes and are divided into those affecting the ascending aorta (60%), the aortic arch (10%), the descending aorta (40%) and the thoracoabdominal aorta (10%). TAA that occur at a young age without significant cardiovascular risk factors are usually stratified into syndromic disorders (e.g. Loeys-Dietz, Marfan and Ehlers-Danlos syndrome, etc.) with extravascular organ involvement and apparently isolated, non-syndromic disorders (familial TAA forms without and with persistent ductus arteriosus, Loeys-Dietz syndrome variants). Aortic abnormalities can occur at any age and vary even within the same family. Detection rates vary widely depending on the above categories, from 15 in familial TAAs to 90-95% (classic Marfan and Loeys-Dietz syndromes). Penetrance rates and expressiveness vary, sometimes considerably, depending on genetic causes. An inconspicuous genetic finding does not therefore mean that the clinical suspected diagnosis can be excluded with certainty.

Reference: https://www.ncbi.nlm.nih.gov/books/NBK1120/

 

Synonyms
  • NOT EBM 11448: Familial thoracic aortic aneurysm, aortic dissection (EFEMP2, FOXE3, MFAP5)
  • Alias: Aortic aneurysm, familial thoracic [EBM]
  • Alias: Familial TAAD [EBM]
  • Allelic: Acromicric dysplasia (FBN1)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 6 (TGFBR2)
  • Allelic: Ectopia lentis, familial (FBN1)
  • Allelic: Geleophysic dysplasia 2 (FBN1)
  • Allelic: MASS syndrome (FBN1)
  • Allelic: Marfan lipodystrophy syndrome (FBN1)
  • Allelic: Megacystis-microcolon-intestinal hypoperistalsis syndrome 1 (MYLK)
  • Allelic: Megacystis-microcolon-intestinal hypoperistalsis syndrome 2 (MYH11)
  • Allelic: Multiple self-healing squamous epithelioma, susceptibility to (TGFBR1)
  • Allelic: Stiff skin syndrome (FBN1)
  • Allelic: Visceral myopathy 2 (MYH11)
  • Allelic: Weill-Marchesani syndrome 2, dominant (FBN1)
  • Aortic aneurysm, familial thoracic 4 (MYH11)
  • Aortic aneurysm, familial thoracic 7 (MYLK)
  • Ehlers-Danlos syndrome, vascular type (COL3A1)
  • Fam. thoracic aortic aneurysm, aortic dissect. (COL3A1, FBN1, MYH11, MYLK, SMAD3, TGFB2, TGFBR1, -2)
  • Loeys-Dietz syndrome 1 (TGFBR1)
  • Loeys-Dietz syndrome 2 (TGFBR2)
  • Loeys-Dietz syndrome 3 (SMAD3)
  • Loeys-Dietz syndrome 4 (TGFB2)
  • Marfan syndrome (FBN1)
  • Polymicrogyria with/-out vascular-type EDS (COL3A1)
Heredity, heredity patterns etc.
  • AD
  • AR
OMIM-Ps
  • Multiple OMIM-Ps
ICD10 Code
I71.2

Bioinformatics and clinical interpretation

No text defined