A Complex Case of Loeys-Dietz Syndrome: A Case Report and Review of the Literature.

Autor: Caza TN; State University of New York Upstate Medical University - Pathology., Mercedes A; University of Nevada Las Vegas - Cardiology., Stoppacher R; Onondaga County Medical Examiner's Office., Catanese CA; Onondaga County Medical Examiners Office - Pathology.
Jazyk: angličtina
Zdroj: Academic forensic pathology [Acad Forensic Pathol] 2016 Dec; Vol. 6 (4), pp. 731-738. Date of Electronic Publication: 2016 Dec 01.
DOI: 10.23907/2016.069
Abstrakt: Loeys-Dietz syndrome is a rare autosomal dominant connective tissue disorder with a genetic predisposition to aneurysm formation and congenital cardiofacial defects through genetic mutation affecting the transforming growth factor-beta (TGFβ) signaling pathway. We present a case of a 6-year-old female patient with Loeys-Dietz syndrome who developed an annular aortic valve abscess and ascending aortic dissection due to Staphylococcus aureus endocarditis. Within this case, multiple complications from Loeys-Dietz syndrome were identified, including prosthetic valve infection, aneurysm formation and dissection, septic embolism, and aspiration pneumonia. The clinical presentation, pathologic findings, and pathophysiology will be discussed.
Competing Interests: DISCLOSURES & DECLARATION OF CONFLICTS OF INTEREST This work was presented at the 2016 NAME Annual Meeting. The authors, reviewers, editors, and publication staff do not report any relevant conflicts of interest
Databáze: MEDLINE