Loeys-Dietz syndrome

Case contributed by Francis Fortin
Diagnosis certain

Presentation

Polymalformative syndrome with hypertelorism, anti-mongoloid slanted eyelids, retrognatism, low set ears, posterior cleft palate (operated), joint laxity, reccurent diaphragmatic hernia (operated), umbilical hernia and severe congenital scoliosis.

Patient Data

Age: 9 years old
Gender: Male

CTA at 9 years old

ct

Marked diffuse arterial tortuosity. Arterial aneurysm of the hepatic artery in the liver hilum.

CTA at 11 years old

ct

Marked diffuse arterial tortuosity, including of the aortic arch. Severe scoliosis. Marked left atrial dilatation.

Brain MRA at 11 years old

mri

Marked tortuosity and mild dilatation mainly of the extracranial carotid and vertebral arteries.

Hypertelorism.

Case Discussion

Confirmed Loeys-Dietz syndrome due to a de novo TGFBR2 mutation.

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