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年轻患者的主动脉疾病:遗传性动脉瘤综合征、结缔组织病以及家族性主动脉瘤和主动脉夹层。

Aortic disease in the young: genetic aneurysm syndromes, connective tissue disorders, and familial aortic aneurysms and dissections.

作者信息

Cury Marcelo, Zeidan Fernanda, Lobato Armando C

机构信息

Instituto de Cirurgia Vascular e Endovascular (ICVE), São Paulo, SP, Brazil.

出版信息

Int J Vasc Med. 2013;2013:267215. doi: 10.1155/2013/267215. Epub 2013 Jan 14.

Abstract

There are many genetic syndromes associated with the aortic aneurysmal disease which include Marfan syndrome (MFS), Ehlers-Danlos syndrome (EDS), Loeys-Dietz syndrome (LDS), familial thoracic aortic aneurysms and dissections (TAAD), bicuspid aortic valve disease (BAV), and autosomal dominant polycystic kidney disease (ADPKD). In the absence of familial history and other clinical findings, the proportion of thoracic and abdominal aortic aneurysms and dissections resulting from a genetic predisposition is still unknown. In this study, we propose the review of the current genetic knowledge in the aortic disease, observing, in the results that the causative genes and molecular pathways involved in the pathophysiology of aortic aneurysm disease remain undiscovered and continue to be an area of intensive research.

摘要

有许多与主动脉瘤疾病相关的遗传综合征,包括马凡综合征(MFS)、埃勒斯-当洛综合征(EDS)、洛伊-迪茨综合征(LDS)、家族性胸主动脉瘤和主动脉夹层(TAAD)、二叶式主动脉瓣疾病(BAV)以及常染色体显性多囊肾病(ADPKD)。在没有家族病史和其他临床发现的情况下,由遗传易感性导致的胸主动脉瘤和腹主动脉瘤及主动脉夹层的比例仍不清楚。在本研究中,我们建议回顾主动脉疾病的当前遗传知识,结果发现,参与主动脉瘤疾病病理生理学的致病基因和分子途径仍未被发现,并且仍然是一个深入研究的领域。

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