Experience of three cases with genetically proven Loeys-Dietz Syndrome

  • Sung Hoon Kim, Korean Society of Pediatric Cardiology and Cardiac Surgery, Korea
  • Joon Huh, Korean Society of Pediatric Cardiology and Cardiac Surgery, Samsung Medical Center, Korea
  • I-Seok Kang, Korean Society of Pediatric Cardiology and Cardiac Surgery, Samsung Medical Center, Korea
  • Heung Jae Lee, Korean Society of Pediatric Cardiology and Cardiac Surgery,Samsung Medical Center, Korea
  • Chang-Suk Ki, Department of Laboratory Medicine and Genetics,Samsung Medical Center, Korea
  • Loeys-Dietz syndrome is described as an aortic-aneurysm syndrome with widespread systemic involvement which is caused by heterozygous mutations in the genes encoding transforming growth factor ß receptors 1 and 2 ( TGFBR1 and TGFBR2, respectively). This disease is characterized by arterial tortuosity and aneurysms, hypertelorism, and bifid uvula or cleft palate and lack of ocular findings of Marfan syndrome and often present in childhood with significant cardiovascular problems. Marfan clinic in Samsung medical center is composed of many departments such as pediatrics, internal medicine, cardiovascular surgery, orthopedics, ophthalmology, radiology, laboratory medicine and genetics and coordinator and we describe 3 patients with Loeys-Dietz syndrome who was diagnosed by genetic test at various ages.

    patient 1 mutation ; TGFBR1Exon6 nucleotide : c.1124C>T amino acid : Thr375Arg
    patient 2 mutation ;TGFBR2Exon4 nucleotide : c.1130A>G amino acid :His378Arg
    patient 3 mutation ;TGFBR2Exon4 nucleotide : c.915_916delCCinsTCATG ?