Phenotype details |
Patient positive for Aortic dissectioni. LDS/FTAAD were suspected before molecular testing. Father, died at 62 years, aortic dissection; sister (46 years), variant positive; cousin (51 years), aortic dissection, variant positive; cousin's daughter (21 years) and son (19 years), variant positive.
Patient and his cousin developed dissection of ascending aorta at age 50 and 51 years, respectively. Both underwent valve-replacement surgery safely with no fragility-related complications. Patient 9 had skin striae but no other skeletal or skin features associated with MFS or vEDS, and his cousin (III-3) had atrophic scars and skin translucency. They were suspected to have LDS or FTAAD. The current NGS-based investigation revealed a heterozygous nonsense variant in COL3A1. Skin fibroblasts cultured from Patient 9 showed a decreased level of type III collagen production (22.7% of normal, Figure 3a). They were both diagnosed with vEDS, followed by initiation of celiprolol therapy. His cousin's asymptomatic daughter and son were also diagnosed molecularly and have begun regular vascular surveillance. |