title: Genes in Thoracic Aortic Aneurysms and Dissections - Do they Matter?: Translation and Integration of Research and Modern Genetic Techniques into Daily Clinical Practice.
abstract: Since the identification of the fibrillin-1 gene as the causal gene for Marfan syndrome, our knowledge of molecular genetics and the applicability of genetic testing in clinical practice have expanded dramatically. Several new syndromes related to thoracic aortic aneurysms and dissections (TAAD) have been described and the list of underlying genes in syndromal and nonsyndromal TAAD already includes more than 10 different genes and is rapidly expanding. Based on this knowledge, our insights into the underlying pathophysiology of TAAD have improved significantly, and new opportunities for targeted treatment have emerged. Clinicians involved in the care of TAAD patients require a basic knowledge of the disease entities and need to be informed on the applicability of genetic testing in their patients and families. Gene-tailored treatment and management is indeed no science fiction anymore and should now be considered as part of good clinical practice. We provide a systematic overview of genetic TAAD entities and practical recommendations for genetic testing and patient management.
authors.forename: Julie
authors.initials: J
authors.lastname: De Backer
authors.affiliation: Centre for Medical Genetics, University Hospital Ghent, Ghent, Belgium;
authors.forename: Marjolijn
authors.initials: M
authors.lastname: Renard
authors.forename: Laurence
authors.initials: L
authors.lastname: Campens
authors.affiliation: Department of Cardiovascular Surgery, University Hospital Ghent, Ghent, Belgium.
authors.forename: Katrien
authors.initials: K
authors.lastname: François
authors.affiliation: Centre for Medical Genetics, University Hospital Ghent, Ghent, Belgium;
authors.forename: Bert
authors.initials: B
authors.lastname: Callewaert
authors.affiliation: Centre for Medical Genetics, University Hospital Ghent, Ghent, Belgium;
authors.forename: Paul
authors.initials: P
authors.lastname: Coucke
authors.affiliation: Centre for Medical Genetics, University Hospital Ghent, Ghent, Belgium;
authors.forename: Anne
authors.initials: A
authors.lastname: De Paepe
keywords: Aneurysm syndrome; Molecular genetic testing; Thoracic aortic aneurysms and dissections