Hereditary connective tissue diseases have different risks of aortic dissection depending on the causative gene. We report a family with no extravascular phenotype and a clinical diagnosis of familial thoracic aortic aneurysm and dissection, but genetic testing confirmed p.Tyr470Cys in TGFBR2, which is typically the responsible gene for Loeys-Dietz syndrome. Validation of the clinical diagnosis by genetic testing is warranted.
Keywords: Hereditary connective tissue diseases; Loeys–Dietz syndrome; Marfan syndrome; TGFBR2; familial thoracic aortic aneurysm and dissection.