The Heart Muscle and Valve Involvement in Marfan Syndrome, Loeys-Dietz Syndromes, and Collagenopathies

Heart Fail Clin. 2022 Jan;18(1):165-175. doi: 10.1016/j.hfc.2021.07.007. Epub 2021 Oct 25.

Abstract

The inherited connective tissue disorders (Marfan syndrome, Loeys-Dietz syndrome [LDS], and Ehlers-Danlos syndrome [EDS]) involve connective tissue of various organ systems. These pathologies share many common features, nonetheless compared to Marfan syndrome, LDS' cardiovascular manifestations tend to be more severe. In contrast, no association is reported between LDS and the presence of ectopia lentis. The EDS are currently classified into thirteen subtypes. There is substantial symptoms overlap between the EDS subtypes, and they are associated with an increased incidence of cardiovascular abnormalities, such as mitral valve prolapse and aortic dissection.

Keywords: Cardiomyopathy: mitral valve prolapse; Collagenophaties; Ehlers-Danlos syndrome; Fibrillinopathies; Loeys-Dietz syndrome; Marfan syndrome; TGFbetapathies.

Publication types

  • Review

MeSH terms

  • Humans
  • Loeys-Dietz Syndrome*
  • Marfan Syndrome* / complications
  • Myocardium