Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy

Concomitant Loeys-Dietz syndrome (LDS) and hematologic malignancies are exceptionally rare. This is the first report of a patient operated on for aortic root dilation who had been previously diagnosed with LDS and B-cell-lymphoma. After completion of chemotherapy and complete remission, an elective...

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Main Authors: Kushtrim Disha, Solveig Schulz, Martin Breuer, Tamer Owais, Evaldas Girdauskas, Thomas Kuntze
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2019-10-01
Series:Korean Journal of Thoracic and Cardiovascular Surgery
Subjects:
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author Kushtrim Disha
Solveig Schulz
Martin Breuer
Tamer Owais
Evaldas Girdauskas
Thomas Kuntze
author_facet Kushtrim Disha
Solveig Schulz
Martin Breuer
Tamer Owais
Evaldas Girdauskas
Thomas Kuntze
author_sort Kushtrim Disha
collection DOAJ
description Concomitant Loeys-Dietz syndrome (LDS) and hematologic malignancies are exceptionally rare. This is the first report of a patient operated on for aortic root dilation who had been previously diagnosed with LDS and B-cell-lymphoma. After completion of chemotherapy and complete remission, an elective valve-sparing aortic root replacement (using the David-V method) was performed. Due to the positive family history, pre-operative genetic counseling was conducted, and revealed LDS with a TGFBR1 (transforming growth factor beta receptor type I) mutation in 6 probands of the family, albeit in 1 of them posthumously. This missense mutation has been previously described in relation to aortic dissection, but a causative relationship to malig-nancy has so far neither been proposed nor proven.
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spelling doaj.art-1bc05a09b3154021a59da54085245a102022-12-22T01:28:37ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162019-10-0152537637910.5090/kjtcs.2019.52.5.376Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic MalignancyKushtrim Disha0Solveig Schulz1Martin Breuer2Tamer Owais3Evaldas Girdauskas4Thomas Kuntze5Department of Cardiac Surgery, Central Hospital Bad Berka, Bad BerkaCenter of Human Genetics and Anthropology, Jena University Hospital, JenaDepartment of Cardiac Surgery, Central Hospital Bad Berka, Bad BerkaDepartment of Cardiac Surgery, Central Hospital Bad Berka, Bad BerkaDepartment of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, GermanyDepartment of Cardiac Surgery, Central Hospital Bad Berka, Bad BerkaConcomitant Loeys-Dietz syndrome (LDS) and hematologic malignancies are exceptionally rare. This is the first report of a patient operated on for aortic root dilation who had been previously diagnosed with LDS and B-cell-lymphoma. After completion of chemotherapy and complete remission, an elective valve-sparing aortic root replacement (using the David-V method) was performed. Due to the positive family history, pre-operative genetic counseling was conducted, and revealed LDS with a TGFBR1 (transforming growth factor beta receptor type I) mutation in 6 probands of the family, albeit in 1 of them posthumously. This missense mutation has been previously described in relation to aortic dissection, but a causative relationship to malig-nancy has so far neither been proposed nor proven.Loeys-Dietz syndromeB-cell lymphomaAortic aneurysm/ thoracic
spellingShingle Kushtrim Disha
Solveig Schulz
Martin Breuer
Tamer Owais
Evaldas Girdauskas
Thomas Kuntze
Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy
Korean Journal of Thoracic and Cardiovascular Surgery
Loeys-Dietz syndrome
B-cell lymphoma
Aortic aneurysm/ thoracic
title Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy
title_full Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy
title_fullStr Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy
title_full_unstemmed Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy
title_short Novel Association of a Familial TGFBR1 Mutation in Loeys-Dietz Syndrome with Concomitant Hematologic Malignancy
title_sort novel association of a familial tgfbr1 mutation in loeys dietz syndrome with concomitant hematologic malignancy
topic Loeys-Dietz syndrome
B-cell lymphoma
Aortic aneurysm/ thoracic
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