A síndrome de Loeys-Dietz é uma doença genética rara do tecido conjuntivo caracterizada por um amplo espectro de manifestações craniofaciais, vasculares e esqueléticas com quatro subtipos genéticos descritos formando um continuum clínico.
Introdução
O que você precisa saber de cara
A síndrome de Loeys-Dietz é uma doença genética rara do tecido conjuntivo caracterizada por um amplo espectro de manifestações craniofaciais, vasculares e esqueléticas com quatro subtipos genéticos descritos formando um continuum clínico.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 56 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 174 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
7 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive.
Receptor-regulated SMAD (R-SMAD) that is an intracellular signal transducer and transcriptional modulator activated by TGF-beta (transforming growth factor) and activin type 1 receptor kinases. Binds the TRE element in the promoter region of many genes that are regulated by TGF-beta and, on formation of the SMAD2/SMAD4 complex, activates transcription. Promotes TGFB1-mediated transcription of odontoblastic differentiation genes in dental papilla cells (By similarity). Positively regulates PDPK1
CytoplasmNucleus
Congenital heart defects, multiple types, 8, with or without heterotaxy
An autosomal dominant disorder characterized by congenital developmental abnormalities involving structures of the heart. Common CHTD8 features include double-outlet right ventricle, unbalanced complete atrioventricular canal, and valvular anomalies. Vascular anomalies include dextroposition of the great arteries, anomalous pulmonary venous return, and superior vena cava to left atrium defect. Patients may also exhibit laterality defects, including dextrocardia, atrial isomerism, dextrogastria, left-sided gallbladder, and intestinal malrotation.
Involved in nuclear protein import, either by acting as autonomous nuclear transport receptor or as an adapter-like protein in association with the importin-beta subunit KPNB1. Acting autonomously, may serve as receptor for nuclear localization signals (NLS) and promote translocation of import substrates through the nuclear pore complex (NPC) by an energy requiring, Ran-dependent mechanism. At the nucleoplasmic side of the NPC, Ran binds to importin, the importin/substrate complex dissociates an
CytoplasmNucleus
VISS syndrome
An autosomal recessive disease characterized by early-onset thoracic aortic aneurysm, aneurysm and tortuosity of other arteries, motor developmental delay, connective tissue findings such as joint hypermobility, skin laxity and hernias, and craniofacial dysmorphic features. Immune dysregulation has been reported in some patients.
Transforming growth factor beta-3 proprotein: Precursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-3 (TGF-beta-3) chains, which constitute the regulatory and active subunit of TGF-beta-3, respectively Required to maintain the Transforming growth factor beta-3 (TGF-beta-3) chain in a latent state during storage in extracellular matrix (By similarity). Associates non-covalently with TGF-beta-3 and regulates its activation via interaction with 'milieu molecules', su
Secreted, extracellular space, extracellular matrixSecreted
Arrhythmogenic right ventricular dysplasia, familial, 1
A congenital heart disease characterized by infiltration of adipose and fibrous tissue into the right ventricle and loss of myocardial cells, resulting in ventricular and supraventricular arrhythmias.
Precursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-2 (TGF-beta-2) chains, which constitute the regulatory and active subunit of TGF-beta-2, respectively Required to maintain the Transforming growth factor beta-2 (TGF-beta-2) chain in a latent state during storage in extracellular matrix (By similarity). Associates non-covalently with TGF-beta-2 and regulates its activation via interaction with 'milieu molecules', such as LTBP1 and LRRC32/GARP, that control acti
Secreted, extracellular space, extracellular matrixSecreted
Transmembrane serine/threonine kinase forming with the TGF-beta type II serine/threonine kinase receptor, TGFBR2, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3. Transduces the TGFB1, TGFB2 and TGFB3 signal from the cell surface to the cytoplasm and is thus regulating a plethora of physiological and pathological processes including cell cycle arrest in epithelial and hematopoietic cells, control of mesenchymal cell proliferation and differentiation, wound healing,
Cell membraneCell junction, tight junctionCell surfaceMembrane raft
Loeys-Dietz syndrome 1
An aortic aneurysm syndrome with widespread systemic involvement, characterized by arterial tortuosity and aneurysms, hypertelorism, and bifid uvula or cleft palate. Physical findings include prominent joint laxity, easy bruising, wide and atrophic scars, velvety and translucent skin with easily visible veins, spontaneous rupture of the spleen or bowel, and catastrophic complications of pregnancy, including rupture of the gravid uterus and the arteries, either during pregnancy or in the immediate postpartum period. Some patients have craniosynostosis, exotropy, micrognathia and retrognathia, structural brain abnormalities, and intellectual deficit.
Receptor-regulated SMAD (R-SMAD) that is an intracellular signal transducer and transcriptional modulator activated by TGF-beta (transforming growth factor) and activin type 1 receptor kinases. Binds the TRE element in the promoter region of many genes that are regulated by TGF-beta and, on formation of the SMAD3/SMAD4 complex, activates transcription. Also can form a SMAD3/SMAD4/JUN/FOS complex at the AP-1/SMAD site to regulate TGF-beta-mediated transcription. Has an inhibitory effect on wound
CytoplasmNucleus
Colorectal cancer
A complex disease characterized by malignant lesions arising from the inner wall of the large intestine (the colon) and the rectum. Genetic alterations are often associated with progression from premalignant lesion (adenoma) to invasive adenocarcinoma. Risk factors for cancer of the colon and rectum include colon polyps, long-standing ulcerative colitis, and genetic family history.
Transmembrane serine/threonine kinase forming with the TGF-beta type I serine/threonine kinase receptor, TGFBR1, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3. Transduces the TGFB1, TGFB2 and TGFB3 signal from the cell surface to the cytoplasm and thus regulates a plethora of physiological and pathological processes including cell cycle arrest in epithelial and hematopoietic cells, control of mesenchymal cell proliferation and differentiation, wound healing, extr
Cell membraneMembrane raftSecreted
Hereditary non-polyposis colorectal cancer 6
An autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. HNPCC is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, HNPCC is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical HNPCC is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected HNPCC' or 'incomplete HNPCC' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected.
Variantes genéticas (ClinVar)
792 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 1,977 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
33 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome Loyes-Dietz
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Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
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Outros ensaios clínicos
10 ensaios clínicos encontrados, 5 ativos.
Publicações mais relevantes
Mostrando amostra de 200 publicações de um total de 653
Pregnancy-Related Vascular Outcomes in Loeys-Dietz Syndrome: A Retrospective Cohort Study and Case Series.
Background: Loeys-Dietz syndrome (LDS) is an autosomal dominant aortopathy characterized by aggressive aneurysm formation and arterial dissections. Pregnancy-related outcomes and timing of LDS diagnosis remain poorly characterized. Methods: Demographics, genetic, obstetric, and vascular data was collected from genetically or clinically confirmed individuals with LDS seen at the three Mayo Clinic sites from 2018 to 2025. Aneurysm progression, new aneurysm formation, and arterial dissections were recorded across all vascular beds. Vascular events were assessed during pregnancy, within 12 months postpartum, and during breastfeeding. Comparative analyses were performed between women with and without a history of pregnancy, and a single-arm descriptive analysis was conducted among patients who experienced vascular complications during the peripartum period. Continuous variables were compared using the Mann-Whitney U test, while categorical variables were analyzed using chi-square or Fisher exact tests. Results: Of 47 women with LDS, 24 had a history of pregnancy, accounting for 54 pregnancies. In the comparative analysis, age at LDS diagnosis differed significantly between women with and without a prior pregnancy: women without prior pregnancy were diagnosed at a younger age (median 23.5 years [IQR 10.8-41.0], n = 23) than those who had been pregnant (median 53.5 years [IQR 43.0-59.3], n = 24). Among pregnant women, the median age at first pregnancy was 28 years (IQR 23-34); only 4 (16.7%) knew their diagnosis before pregnancy. Of 54 pregnancies, 40 (74.1%) resulted in live birth, with 23 (57.5%) vaginal and 17 (42.5%) cesarean deliveries; preterm delivery occurred in 1 (2.5%) pregnancy, and postpartum hemorrhage in 2 (5.0%). No maternal deaths, aortic dissections, or uterine ruptures occurred during gestation or the first postpartum year. In addition, 14 women (58.3%) developed aneurysms, 6 (25.0%) experienced at least one arterial dissection, and 7 (29.2%) required surgical repair, predominantly involving the ascending and abdominal aorta. The prevalence of vascular complications did not differ significantly between groups. Conclusions: In this LDS cohort, pregnancy and the early postpartum period were not accompanied by acute aortic catastrophes, despite frequent diagnostic delay. Although women without prior pregnancy were diagnosed at a younger age, the overall burden of vascular and morphologic complications did not differ significantly by pregnancy history. These findings highlight the importance of long-term cardiovascular follow-up in women with LDS.
A personalized home-based exercise training program in children with Marfan and Loeys-Dietz syndromes improves aerobic exercise capacity and health-related quality of life.
Children and adolescents with Marfan (MFS) and Loeys-Dietz (LDS) syndromes report chronic fatigue and reduced physical endurance, which significantly impact their health-related quality of life (HRQoL). We hypothesized that a tailored physical training program could improve these parameters. To test this hypothesis, we conducted an interventional, prospective, single-center clinical trial consisting of a 3-month observation period followed by a 6-month intervention period, during which a personalized home-based training program was implemented. The primary endpoint was the change in ventilatory anaerobic threshold (VAT) assessed during a maximal exercise test. Secondary outcomes were changes in 6-minute walk test (6MWT) distance and HRQoL parameters (assessed before and after intervention using the Pediatric Quality of Life Inventory, PedsQL™) and cardiac tolerance. A total of 28 children (25 with MFS and 3 with LDS) were enrolled, of whom 19 (68%) completed the study. At baseline, VAT and 6MWT distances were significantly impaired compared to the general population (p < 0.001 by one-sample t-test for both parameters), in particular in patient with a systemic score ≥ 7. During the program, there was an overall significant increase in VAT (p < 0.001 by ANOVA) and 6MWT distances (p = 0.02 by paired t-test). These improvements were accompanied by a significant enhancement in HRQoL parameters in the different dimensions assessed. No changes were observed in maximum heart rate, maximum systolic blood pressure and aortic sinus diameter. This 6-month personalized home-based exercise training program significantly improved aerobic physical capacity and HRQoL in children with MFS and LDS without affecting aortic sinus diameter. Despite the small number of patients included, which is a common challenge in studies conducted on children with rare diseases, these findings provide promising perspectives for the management of these patients. URL https://clinicaltrials.gov/; Unique identifier NCT03236571 date of registration 28/07/2017. The online version contains supplementary material available at 10.1186/s13023-026-04234-4.
Loeys-Dietz syndrome 3 causing vertebral artery dissections with posterior circulation strokes.
Ischaemic strokes in young adults carry considerable mortality and morbidity; however, their cause is often unknown. A 25-year-old man experienced sudden-onset right homonymous hemianopia after 1 week of gradually worsening left-sided neck pain; imaging confirmed left vertebral artery dissection with associated posterior cerebral circulation infarction. Ten days later, he experienced right-sided neck pain consistent with a right vertebral artery dissection, but with no recent trauma. Genetic testing identified a novel heterozygous variant in SMAD3 (Mothers against decapentaplegic homolog 3), which is associated with Loeys-Dietz syndrome 3. This case highlights the importance of comprehensive diagnostic investigations for young adults with ischaemic stroke, including consideration of genetic testing. Accurately identifying genetic causes of stroke allows improved patient management including familial screening, clinical surveillance and pre-implantation genetic screening.
Genetic testing in thoracic aortic disease: diagnostic performance of the 2024 ESC algorithm.
Aortic dissection during the perinatal period in women with Marfan-related disorders: a retrospective cohort study using the Japanese Diagnosis Procedure Combination database.
Women with Marfan-related disorders face an elevated risk of aortic dissection during pregnancy and the postpartum period. This study aimed to investigate the incidence of aortic dissection during the perinatal period in women with Marfan-related disorders. This retrospective cohort study analyzed data extracted from the Japanese Diagnosis Procedure Combination, a nationwide administrative claims database. We included women diagnosed with Marfan-related disorders (Marfan syndrome, Loeys-Dietz syndrome, or Ehlers-Danlos syndrome) who delivered between 2010 and 2023. We assessed the incidence of aortic dissection during pregnancy or postpartum hospitalization, and the incidence of re-hospitalization for aortic dissection. Moreover, we described the use of cabergoline and the incidence of aortic dissection. During the study period, we identified a total of 226 deliveries by 175 women with Marfan-related disorders. Cesarean section accounted for 69.0% of deliveries. During pregnancy, 1.8% of cases (4/226) experienced aortic dissection and required aortic surgery. In the postpartum period, 2.7% of cases (6/226) experienced aortic dissection during postpartum hospitalization. Within 1 year after delivery, 2.7% of cases (6/226) underwent re-hospitalization for aortic dissection. Cabergoline was administered for elective avoidance of breastfeeding within 2 days postpartum in 15 (6.6%) cases. The incidence of postpartum aortic dissection did not differ significantly between cabergoline users and non-users. Women with Marfan-related disorders may remain at risk of developing aortic dissection for up to 1 year postpartum.
Publicações recentes
Loeys-Dietz Syndrome: 2026 updated care management primer.
New CT-based dural ectasia criteria using machine learning to diagnose Marfan and Loeys-Dietz syndromes.
Generation of an induced pluripotent stem cell line from a patient with Loeys-Dietz syndrome.
Multistaged aortic repair for a 14-year-old girl with Loeys-Dietz syndrome.
Ruptured abdominal aortic aneurysm in a paediatric patient with Loeys-Dietz syndrome.
📚 EuropePMC466 artigos no totalmostrando 198
Aortic dissection during the perinatal period in women with Marfan-related disorders: a retrospective cohort study using the Japanese Diagnosis Procedure Combination database.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal ObstetriciansRefinement of Connective Tissue Disorder Diagnosis From Marfan to Loeys-Dietz Syndrome Type 4-End of a 30-Year Diagnostic Odyssey.
American journal of medical genetics. Part ASevere renovascular hypertension in an infant with a SMAD3 gene variant.
Pediatric nephrology (Berlin, Germany)The Current State of Endovascular Aortic Repair in Heritable Thoracic Aortic Disease.
Annals of vascular surgeryArteriopathies: Too big to be true.
Annals of pediatric cardiologyPregnancy-Related Vascular Outcomes in Loeys-Dietz Syndrome: A Retrospective Cohort Study and Case Series.
Medical sciences (Basel, Switzerland)Genetic testing in thoracic aortic disease: diagnostic performance of the 2024 ESC algorithm.
European heart journalContemporary Outcomes of Thoracic Endovascular Aortic Repair in Patients with Syndromic Genetic Aortopathy: A Multi-Centre National Study.
Annals of vascular surgeryA personalized home-based exercise training program in children with Marfan and Loeys-Dietz syndromes improves aerobic exercise capacity and health-related quality of life.
Orphanet journal of rare diseasesDevelopment of a zebrafish model of Loeys-Dietz syndrome through tgfbr2b knockdown.
Journal of human geneticsDiastolic Function and Left Atrial Mechanics in Children With Marfan and Loeys-Dietz Syndrome.
CJC pediatric and congenital heart diseaseBronchiolo-arterial fistula management in a patient with Loeys-Dietz syndrome using a multidisciplinary approach.
Journal of surgical case reportsVariability, asymmetry and sexual dimorphism in craniofacial anomalies in Loeys-Dietz syndrome 2: geometric morphometric analysis in mice.
Scientific reportsSpinal Pathologies Associated With Loeys-Dietz Syndrome: A Systematic Review.
Global spine journalPulmonary Vascular Abnormalities and Spontaneous Pneumothorax in Loeys-Dietz Syndrome.
Pathology internationalIntegrated imaging and cellular bioenergetic profiling of the aorta in a patient with Loeys-Dietz syndrome.
Polish archives of internal medicineAdalimumab-responsive Monogenic Inflammatory Bowel Disease With Pseudopolyposis Characteristic of TGFBR2 Variant in Loeys-Dietz Syndrome.
DEN openSingle-Incision Double Thoracotomy for Open Thoracoabdominal Aortic Aneurysm Repair: Case Report and New Technique.
Annals of thoracic surgery short reportsType B Aortic Dissection in Patients Aged 30 Years or Younger: A Retrospective Multicentre Study.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic SurgeryUnderlying Aortopathies in Pregnancy: Early Detection, Management, and Advanced Planning.
Cardiology in reviewMultidisciplinary Management of Heritable Aortopathy in Pregnancy Complicated by Postpartum Acute Type A Dissection.
JACC. Case reportsBicuspid Aortic Valve in Heritable Thoracic Aortic Disease: Insights from the Montalcino Aortic Consortium.
medRxiv : the preprint server for health sciencesNon-oncology orphan drug development: Productivity and probability of success.
Drug discovery todayFrom Spine to Syndrome: Incidental Spine MRI Red Flags Leading to PMEPA1-Related Loeys-Dietz Syndrome.
Internal medicine (Tokyo, Japan)Mitral Annular Disjunction in Pediatric Loeys-Dietz Syndrome: A Step Toward Deep Phenotyping.
JACC. Cardiovascular imagingHybrid prosthesis in frozen elephant trunk procedures for hereditary thoracic aortic diseases: a 14-year single-aortic center experience.
Journal of cardiothoracic surgerySuccessful Application of TEVAR With a Vascular Plug for Treatment of Pseudoaneurysm in Ascending Aorta.
JACC. Case reportsSmooth Muscle Cell-Specific TGFβ2 Protects Against Thoracic Aortic Aneurysm and Dissection in Mice.
bioRxiv : the preprint server for biologyMultimodality Imaging for Thoracic Aortic Aneurysms.
Cardiology clinicsValve Sparing Aortic Root Replacement in Loeys-Dietz Syndrome Type II: Is It Ever Too Early?
JACC. Case reportsA Novel Mutation of TGFB2 Gene Responsible of Loeys-Dietz 4 Syndrome.
International medical case reports journalLoeys-Dietz Syndrome Presenting as Hemorrhage From Arteriobiliary Fistula: Endoscopic Management of Hemostasis.
Gastro hep advancesThe Burden of Cardiac Arrhythmias in Loeys-Dietz Syndrome: Prevalence, Etiology, and Therapeutic Interventions.
JACC. AdvancesA genotype to phenotype relationship of exudative vitreoretinopathy in Loeys-Dietz syndrome due to a pathogenic variant in TGFBR2.
Ophthalmic geneticsOpen Repair of Isolated Internal Iliac Artery Aneurysm in a Young Patient With Loeys-Dietz Syndrome.
EJVES vascular forumPathologies of the cervical spine in skeletal syndromes and dysplasias.
Orthopaedics & traumatology, surgery & research : OTSRUnmasking Loeys-Dietz Syndrome: The Clinical Significance of a Bifid Uvula.
QJM : monthly journal of the Association of PhysiciansSingle cell analysis identifies a distinct population of fibroblasts that mediate increased cell-cell communication in murine aortopathy of Loeys-Dietz syndrome.
Journal of molecular and cellular cardiologyLate Loeys-Dietz Syndrome Diagnosis in an Adolescent With Severe Phenotype.
JACC. Case reportsLoeys-Dietz syndrome subtypes exhibit distinct clinical behavior and aortic cellular transcriptomic profiles.
JTCVS openMitral annular disjunction distance is associated with adverse outcomes in children and young adults with connective tissue disorders.
Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic ResonanceExploring patient experiences of pain fatigue and physical activity in syndromic heritable thoracic aortic disease using mixed methods.
Scientific reportsPostoperative Outcomes and Valvular Involvement in Loeys-Dietz Syndrome: A Multicenter Cohort Study of Surgical Risk and Complications.
The American journal of cardiologyLoeys-Dietz Syndrome and Asthma: Pathophysiological Insights and Clinical Dilemmas.
Respirology case reportsOutcomes of fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms in patients with heritable thoracic aortic diseases.
JTCVS techniquesRapid Development of an Internal Mammary Artery Aneurysm in a Patient with Loeys-Dietz Syndrome.
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular SurgeryAortic Valve-Sparing Root Operation in Patients With Marfan and Loeys-Dietz Syndrome.
The Annals of thoracic surgeryNeurovascular complications in Loeys-Dietz syndrome: a comprehensive systematic review and case report.
Acta neurologica BelgicaPersonalized external aortic root support: The Dutch experience.
The Journal of thoracic and cardiovascular surgeryPediatric David procedure for aneurysmally dilated ascending aorta in Loeys-Dietz syndrome.
Indian journal of thoracic and cardiovascular surgeryLoss of function variants in ADAMTS6 : Connective tissue, Heart defect, thoracic Aortic aneurysm and Neuro developmental Syndrome (CHANS).
medRxiv : the preprint server for health sciencesLoeys-Dietz syndrome 3 causing vertebral artery dissections with posterior circulation strokes.
Practical neurologyConnective tissue disorder and high risk pregnancy: a case series with personalised external aortic root support (PEARS).
Nature communicationsDecoding clinical diversity in monogenic TGFBR1 and TGFBR2 mutations: insights into the interplay of molecular mechanisms and hypomorphicity.
Frontiers in cell and developmental biologyManagement of the aortic arch in patients with syndromic heritable thoracic aortic disease.
Interdisciplinary cardiovascular and thoracic surgeryPregnancy outcomes in women with heritable thoracic aortic disease: data from the EORP ESC registry of pregnancy and cardiac disease (ROPAC) III.
European heart journal. Quality of care & clinical outcomes[Clinical and genetic analysis of a patient with Loeys-Dietz syndrome caused by a SMAD3 gene variant].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsArterial Events in Vascular Ehlers-Danlos, Loeys-Dietz, and Marfan Syndromes: Moving Closer to Personalized Surveillance Imaging.
Journal of the American College of CardiologyDifferences in Arterial Events in Vascular Ehlers-Danlos, Loeys-Dietz, and Marfan Syndrome.
Journal of the American College of CardiologyArterial Aneurysms in Loeys-Dietz Syndrome: Building Knowledge for Better Care.
Journal of the American College of CardiologyCharacterization of Arterial Aneurysms in Loeys-Dietz Syndrome.
Journal of the American College of CardiologyCytogenetic anomalies are the predominant genetic alteration in children with nonfamilial tall stature: a comparative study with familial cases.
European journal of pediatricsDefective Mitochondrial Respiration in Hereditary Thoracic Aneurysms.
CellsEndovascular Treatment of Direct Carotid-Cavernous Fistula in a Patient with Loeys-Dietz Syndrome.
Journal of neuroendovascular therapySex-based differences in patients with Loeys-Dietz syndrome: An analysis of arteriopathies and surgical interventions.
International journal of cardiologyAngiosarcoma Beneath a Bleeding Aneurysmal Veil.
JACC. Case reportsDiagnosis of skeletal fragility due to Loeys-Dietz syndrome and treatment with romosozumab followed by denosumab.
Bone reportsOcular Findings as the Most Striking Manifestation of a SMAD3 Variant.
American journal of medical genetics. Part AA patient with Loeys-Dietz syndrome double-seropositive for antiglomerular basement membrane and antineutrophil cytoplasmic antibodies.
Polish archives of internal medicineEndoscopic management of pancreatic and biliary duct stenoses due to a giant pseudoaneurysm in a patient clinically suggestive of Loeys-Dietz syndrome.
Clinical journal of gastroenterologyPrenatal Detection of TGFBR1 Variant Associated With Severe Ventriculomegaly and Loeys-Dietz Syndrome.
Prenatal diagnosisSex differences in patterns of cardiovascular referral in patients with Marfan, Ehlers-Danlos, and Loeys-Dietz syndromes.
JTCVS openTakotsubo syndrome following mitral valve surgery in a paediatric patient: a case report.
European heart journal. Case reportsGenotype-Phenotype Correlation Insights Through Molecular Modeling Analysis in a Patient with Loeys-Dietz Syndrome.
GenesMitochondrial Dysfunction: A New Hallmark in Hereditable Thoracic Aortic Aneurysm Development.
CellsManagement of non-healing sternotomy wounds in Loeys-Dietz syndrome.
BMJ case reportsDistinctive Amelogenesis Imperfecta in Loeys-Dietz Syndrome Type II.
Journal of dental researchAortic root dilatation and mitral valve prolapse in three siblings with dental anomalies and short stature syndrome due to a homozygous novel LTBP3 variant.
Cardiology in the youngNOTCH3 -Related Lateral Meningocele Syndrome Presenting as Radiological Copenhagen Syndrome.
American journal of medical genetics. Part A[Marfan syndrome and related disorders].
Revue medicale suisseSplenic Artery Aneurysm and a Giant Gallbladder in Loeys-Dietz Syndrome.
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular SurgeryTransforming growth factor, beta-2 gene mutation causes autosomal dominant Camurati-Engelmann disease, type 2 (OMIM % 606631).
BoneRare genetic variants in PKD1 and SMAD2 are associated with intracranial aneurysms in the general population.
International journal of stroke : official journal of the International Stroke SocietyThoracic Aortic Aneurysm Growth Rates and Predicting Factors: A Systematic Review and Meta-Analysis.
Journal of the American Heart AssociationHyper IgE Syndromes: Understanding, Management, and Future Perspectives: A Narrative Review.
Health science reportsGenetic factors and management strategies in aortic health: a literature review of inherited aortopathy.
Annals of medicine and surgery (2012)Chemokine (C-C Motif) Ligand 2 Expressing Adventitial Fibroblast Expansion During Loeys-Dietz Syndrome Aortic Aneurysm Formation.
Arteriosclerosis, thrombosis, and vascular biologyThe natural history of protrusio acetabuli in Marfan syndrome and other hereditary connective tissue disorders: a 10-year follow-up CT study.
Orphanet journal of rare diseasesIntensive physical training in children with heritable connective tissue disorders is feasible and safe: a pilot study.
Disability and rehabilitationRegulation of Joint Tissues and Joint Function: Is There Potential for Lessons to Be Learned Regarding Regulatory Control from Joint Hypermobility Syndromes?
International journal of molecular sciencesIdentification of TGFBR1 Gene Variants in Two Chinese Pedigrees with Loeys-Dietz Syndrome.
Brazilian journal of cardiovascular surgeryMultiple Self-Healing Squamous Epithelioma and Loeys-Dietz syndrome: a single TGFBR1 variant, two phenotypes in one patient.
BMJ case reportsThree-Dimensional Curvature of the Cervical Carotid Artery Predicts Long-Term Neurovascular Risk in Loeys-Dietz Syndrome.
StrokeTransseptal approach for pseudoaneurysms at the aortic root in Loeys-Dietz syndrome.
Interdisciplinary cardiovascular and thoracic surgeryA novel TGFBR2 mutation causes Loeys-Dietz syndrome in a Chinese infant: A case report.
HeliyonGeneration of two induced pluripotent stem cell lines from Loeys-Dietz syndrome patients carrying heterologous mutation of TGFBR1.
Stem cell researchEditor's Choice - A European Delphi Consensus on the Management of Abdominal Aortic Aneurysms in Patients with Heritable Aortic Diseases.
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular SurgeryCase Report: Efficacy and safety of recombinant growth hormone therapy in a girl with Loeys-Dietz syndrome.
Frontiers in cardiovascular medicineUnveiling type B aortic dissection in Loeys-Dietz syndrome by transthoracic echocardiography: back to the root.
European heart journal. Cardiovascular ImagingQuality of life in people with syndromic heritable thoracic aortic disease and their relatives: a qualitative interview based study.
Orphanet journal of rare diseasesCase studies in heritable vascular disease: Proceedings of the UTHealth Houston Multidisciplinary Aortic Conference.
Journal of vascular surgery cases and innovative techniquesNovel variant alters splicing of TGFB2 in family with features of Loeys-Dietz syndrome.
Frontiers in geneticsLoeys-Dietz Syndrome Presenting with an Abdominal Aortic Aneurysm: A Case Report.
Annals of vascular diseasesCardiovascular complications in vascular connective tissue disorders after COVID-19 infection and vaccination.
PloS oneComprehensive Genetic Testing for Coexisting Marfan and Loeys-Dietz Syndromes in Hereditary Thoracic Aortic Disease.
JACC. Case reportsEhlers-Danlos Syndromes and Related Disorders: Diagnostic Challenges and the Need for an Interdisciplinary Patient Care in Germany.
Dermatology (Basel, Switzerland)Aortic and arterial manifestations and clinical features in TGFB3-related heritable thoracic aortic disease: results from the Montalcino Aortic Consortium.
Journal of medical geneticsShprintzen - Goldberg syndrome without intellectual disability: A clinical report and review of literature.
European journal of medical geneticsCo-occurrence of Loeys-Dietz syndrome with postural orthostatic tachycardia syndrome: A case series.
Autonomic neuroscience : basic & clinicalRapid Aneurysmal Degeneration and Repair of Thoracic Aortic Aneurysm in a Patient with Concomitant Vascular Ehlers-Danlos and Loeys-Dietz Syndromes.
Aorta (Stamford, Conn.)Intrinsic GATA4 expression sensitizes the aortic root to dilation in a Loeys-Dietz syndrome mouse model.
Nature cardiovascular researchDiagnostic yield and therapeutic implications of 25 years of specialized pediatric Marfan clinic.
European journal of pediatricsVariations in echocardiographic findings in patients with Loeys-Dietz syndrome type 4 with 2 types of variant mutations in TGFB.
Journal of cardiology casesBeyond the root: Geometric characterization for the diagnosis of syndromic heritable thoracic aortic diseases.
Computers in biology and medicineUtilization of percutaneous closure devices for large bore arterial access in patients with genetic aortopathy does not result in increased rates of access site complications.
Journal of vascular surgeryWhole aorta imaging shows increased risk for thoracic aortic aneurysms and dilatations in relatives of abdominal aortic aneurysm patients.
Journal of vascular surgeryIdentification of Genetic Variants Associated with Hereditary Thoracic Aortic Diseases (HTADs) Using Next Generation Sequencing (NGS) Technology and Genotype-Phenotype Correlations.
International journal of molecular sciencesTwo-staged repair of a giant iliac aneurysm and open repair of a true deep femoral artery aneurysm in Loeys-Dietz syndrome type V: a case report and review of literature.
Acta chirurgica BelgicaFragile Arteries in Loeys-Dietz Syndrome.
Korean circulation journalMitral Annular Disjunction in Heritable Thoracic Aortic Disease: Insights From the Montalcino Aortic Consortium.
Journal of the American Heart AssociationGenetic variants in patients with multiple arterial aneurysms.
Langenbeck's archives of surgeryRapid identification of primary atopic disorders (PAD) by a clinical landmark-guided, upfront use of genomic sequencing.
Allergologie selectA familial case of aortic dilatation with p.Tyr470Cys in TGFBR2 in which the phenotype included only vascular lesions.
Cardiology in the youngExercise, Sports Participation, and Quality of Life in Young Patients with Heritable Thoracic Aortic Disease.
Medicine and science in sports and exerciseSuccessful Open Repair of a Thoracoabdominal Aortic Aneurysm After Multiple Failed Endovascular Treatments in a 22-Years-Old Individual With Loeys-Dietz Syndrome.
Vascular and endovascular surgeryThoracoabdominal aortic replacement in a 6-year-old boy with Loeys-Dietz syndrome.
Journal of cardiothoracic surgeryOpen Surgical Repair in a Patient With Loeys-Dietz Syndrome and Extensive Vascular Compromise: A Case Report and Literature Review.
Vascular and endovascular surgeryImpact of early diagnosis on surgical outcomes in patients with Loeys-Dietz syndrome.
Frontiers in cardiovascular medicineImpact of valve-sparing aortic root replacement on aortic fluid dynamics and biomechanics in patients with syndromic heritable thoracic aortic disease.
Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic ResonanceLike Father like Daughter: Surgical Redo Thoracoabdominal Aneurysm Repairs in a Family With Loeys-Dietz Syndrome.
Vascular and endovascular surgeryTemporal Pattern Analysis of Ultrasound Surveillance Data in Vascular Connective Tissue Disorders.
Diagnostics (Basel, Switzerland)Acute Transverse Myelitis in a Patient With Type 2 Loeys-Dietz Syndrome: A Report of a Rare Case From India.
CureusManagement of an elderly patient with nonsyndromic TGFBR1-related aortopathy: A case report.
Clinical case reportsCardiovascular Management of Aortopathy in Children: A Scientific Statement From the American Heart Association.
CirculationEngineered vascular grafts lend unique insight to pathophysiology of aortic aneurysms.
Cell stem cellAssessment of extra-coronary peripheral arteriopathy in spontaneous coronary dissection: state of the art in non-invasive imaging techniques and future perspectives.
European heart journal. Imaging methods and practiceGiant Morgagni hernia and aorto-pulmonary collaterals in a Loeys-Dietz patient undergoing surgery for aortic root aneurysm and mitral valve prolapse.
Interdisciplinary cardiovascular and thoracic surgeryMarfan and Loeys-Dietz aortic phenotype: A potential tool for diagnosis and management.
JTCVS openEndovascular fenestration and stenting for renovisceral malperfusion in a pediatric patient with type II Loeys-Dietz syndrome.
Journal of vascular surgery cases and innovative techniquesMultidisciplinary hybrid approach to management of a thoracoabdominal aneurysm in a patient with both Loeys-Dietz and vascular Ehlers-Danlos syndrome.
Journal of vascular surgery cases and innovative techniquesAcute Primary Small Bowel Volvulus in a Male With Loeys-Dietz Syndrome.
CureusAortopathy - A surgical pathology experience.
Indian journal of pathology & microbiologyInnovation in pathogenesis and management of aortic aneurysm.
World journal of experimental medicineMajor Complication Caused by Inguinal Hernia Recurrence After Percutaneous Internal Ring Suturing Procedure in a Patient With Loeys-Dietz Syndrome: A Case Report.
CureusAtypical type A aortic dissection caused by Loeys-Dietz syndrome with a novel mutation in TGFBR2: Report of a rare case.
Asian journal of surgeryHereditary Aortic Aneurysms and Dissections: Clinical Diagnosis and Genetic Testing.
Annals of vascular diseasesValidating a Curvature-Based Marker of Cervical Carotid Tortuosity for Risk Assessment in Heritable Aortopathies.
Journal of the American Heart AssociationDelayed diagnosis of Loeys-Dietz syndrome revealed through atrial septal defect with pulmonary artery dilation.
Echocardiography (Mount Kisco, N.Y.)Impact of Genotype-Phenotype Interactions on Cardiovascular Function in Paediatric Loeys-Dietz Syndrome.
CJC pediatric and congenital heart diseasePersonalizing Aortic Surveillance in Paediatric Loeys-Dietz Syndrome.
CJC pediatric and congenital heart diseaseNational registry insights on genetic aortopathies and thoracic endovascular aortic interventions.
Journal of vascular surgeryBioengineered vascular grafts with a pathogenic TGFBR1 variant model aneurysm formation in vivo and reveal underlying collagen defects.
Science translational medicineUnraveling the genetic collagen connection: clinical and therapeutic insights on genetic connective tissue disorders.
Advances in rheumatology (London, England)Functional analysis of cell lines derived from SMAD3-related Loeys-Dietz syndrome patients provides insights into genotype-phenotype relation.
Human molecular geneticsNew treatment paradigm for patients with Marfan or Loyes-Dietz syndrome.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic SurgeryPelvic Floor Dysfunction Among Persons With Marfan and Loeys-Dietz Syndrome.
Urogynecology (Philadelphia, Pa.)Cardiovascular pathology, inheritance and prognosis in a familial cohort of Loeys-Dietz type III.
International journal of cardiologyThe Impact of Pregnancy in Patients with Thoracic Aortic Disease: Epidemiology, Risk Assessment, and Management Considerations.
Methodist DeBakey cardiovascular journalLoeys-Dietz syndrome with a novel in-frame SMAD3 deletion diagnosed as a result of postpartum aortic dissection: A case report.
Taiwanese journal of obstetrics & gynecologyLoeys-Dietz syndrome and Goldenhar syndrome unveiled together.
BMJ case reportsPhysical fitness in children with Marfan and Loeys-Dietz syndrome: associations between cardiovascular parameters, systemic manifestations, fatigue, and pain.
European journal of pediatricsCardiovascular and obstetrical outcomes among delivering patients with Marfan or Loeys-Dietz syndrome: a retrospective analysis by hospital delivery setting.
American journal of obstetrics & gynecology MFMDiameter and dissection of the abdominal aorta and the risk of distal aortic reoperation after surgery for type A aortic dissection.
International journal of cardiologyEndovascular aortic repair in patients with Marfan and Loeys-Dietz syndrome is safe and durable when employed by a multi-disciplinary aortic team.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic SurgeryOutcomes of complex abdominal wall reconstruction in patients with connective tissue disorders: a single center experience.
Hernia : the journal of hernias and abdominal wall surgeryEchogenomics: Echocardiography in Heritable Aortopathies.
Current cardiology reportsLoeys-Dietz syndrome with concomitant aplastic anemia.
Annals of hematologyTGFβ prevents IgE-mediated allergic disease by restraining T follicular helper 2 differentiation.
Science immunologyFamilial visceral branch artery aneurysms in Loeys-Dietz syndrome.
BMJ case reportsDiagnosis and treatment of cardiovascular disease in patients with heritable connective tissue disorders or heritable thoracic aortic diseases.
Cardiovascular intervention and therapeuticsSalvaging From Limb Amputation in an Acute Complicated Type B Aortic Dissection Patient.
Medical archives (Sarajevo, Bosnia and Herzegovina)Coexistence of multiple self-healing squamous epithelioma and features of Loeys-Dietz syndrome caused by a pathogenic missense variant in the kinase domain of TGFBR1.
Clinical and experimental dermatologyTotal arch replacement using frozen elephant trunk and repair of bilateral subclavian artery aneurysms in a patient with type 2 Loeys-Dietz syndrome.
Journal of vascular surgery cases and innovative techniquesHybrid repair of a thoracoabdominal aortic aneurysm in female patient with Loeys-Dietz syndrome.
Annals of cardiothoracic surgeryA rare presentation of asymmetric limb hypertrophy and diffuse capillary malformations in a pediatric patient with Loeys-Dietz syndrome type 3.
JAAD case reportsArterial tortuosity index, a promising imaging marker for early detection of Loeys-Dietz syndrome.
Kardiologia polska[Clinical and genetic analysis of a patient with Loeys-Dietz syndrome due to variant of TGFBR2 gene].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsUnexplained Cardiovascular Collapse After Scoliosis Surgery in a Patient With Loeys-Dietz Syndrome.
CJC pediatric and congenital heart diseaseNatural history and growth rate of intracranial aneurysms in Loeys-Dietz syndrome: implications for treatment.
Journal of neurosurgery[Depressive and anxiety symptoms in hereditary connective tissue disorders : case description and systematic literature review].
Tijdschrift voor psychiatrieIatrogenic aortic dissection during aortic root replacement in an older Loeys-Dietz syndrome type III patient with no family history of aortic disease: a case report.
Journal of cardiothoracic surgeryArterial tortuosity in pediatric Loeys-Dietz syndrome patients.
American journal of medical genetics. Part ARecurrent Infective Endocarditis in an Adolescent due to Streptococcus agalactiae: A Rare Presentation of a Common Pathogen.
Oman medical journalValve-sparing root replacement in children with connective tissue disease: Long-term risk of aortic events.
The Journal of thoracic and cardiovascular surgeryPediatric Bentall procedure for giant ascending aortic aneurysm in Loeys-Dietz syndrome.
Annals of pediatric cardiologySpondyloptosis in Loeys-Dietz syndrome.
PM & R : the journal of injury, function, and rehabilitationA novel pathogenic variant located just upstream of the C-terminal Ser423-X-Ser425 phosphorylation motif in SMAD3 causing Loeys-Dietz syndrome.
Molecular genetics & genomic medicineCardiovascular involvement and prognosis in Loeys-Dietz syndrome.
Kardiologia polskaPatterns of genetic mutations explored by systematic screening of patients with aortopathy and their family members.
JTCVS openVertebral Tortuosity Is Associated With Increased Rate of Cardiovascular Events in Vascular Ehlers-Danlos Syndrome.
Journal of the American Heart AssociationEvaluating Variation in the Cardiac Management of Children with Hereditary Thoracic Aortic Disease in the United States.
Pediatric cardiologySurgical Treatment of Cervical Kyphosis and Atlantoaxial Dislocation in a Child With Loeys-Dietz Syndrome: A Case Report and Literature Review.
Clinical spine surgeryVariable clinical expression of a Belgian TGFB3 founder variant suggests the presence of a genetic modifier.
Frontiers in geneticsArterial Tortuosity Syndrome: Unraveling a Rare Vascular Disorder.
CureusAnesthetic management of a child with Loeys-Dietz syndrome undergoing complete aortic arch replacement.
Cirugia y cirujanos[Clinical and genetic characteristics of 12 cases of Loeys-Dietz syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsDavid V procedure and hemiarch replacement in a patient with Loeys-Dietz-Syndrome and beta thalassemia minor: a case report.
Journal of cardiothoracic surgeryGenetic Basis, New Diagnostic Approaches, and Updated Therapeutic Strategies of the Syndromic Aortic Diseases: Marfan, Loeys-Dietz, and Vascular Ehlers-Danlos Syndrome.
International journal of environmental research and public healthAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Pregnancy-Related Vascular Outcomes in Loeys-Dietz Syndrome: A Retrospective Cohort Study and Case Series.
- A personalized home-based exercise training program in children with Marfan and Loeys-Dietz syndromes improves aerobic exercise capacity and health-related quality of life.
- Loeys-Dietz syndrome 3 causing vertebral artery dissections with posterior circulation strokes.
- Genetic testing in thoracic aortic disease: diagnostic performance of the 2024 ESC algorithm.
- Aortic dissection during the perinatal period in women with Marfan-related disorders: a retrospective cohort study using the Japanese Diagnosis Procedure Combination database.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians· 2026· PMID 41866242mais citado
- Loeys-Dietz Syndrome: 2026 updated care management primer.
- New CT-based dural ectasia criteria using machine learning to diagnose Marfan and Loeys-Dietz syndromes.
- Generation of an induced pluripotent stem cell line from a patient with Loeys-Dietz syndrome.
- Multistaged aortic repair for a 14-year-old girl with Loeys-Dietz syndrome.
- Ruptured abdominal aortic aneurysm in a paediatric patient with Loeys-Dietz syndrome.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:60030(Orphanet)
- MONDO:0018954(MONDO)
- GARD:10788(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q3508669(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
