Table 1 Clinical features of THSD4 variant carriers in TAAD families.

From: Pathogenic variants in THSD4, encoding the ADAMTS-like 6 protein, predispose to inherited thoracic aortic aneurysm

Family/variation p. notation/ variation c. notation

Patient

Sex

Variation status

Age at diagnosis/ height/weight

Aortic status

Other vascular manifestations

Other clinical manifestations

Family 1: TAA-1889

p.(Leu247*)

c.740del

Proband II.6

M

+/ -

43 years/1m86/115 kg

Type A aortic dissection; aortic diameter prior to dissection NA

None

Mild pectus excavatum, dolichostenomelia, high-arched palate

Brother II.4

M

NA

Died at 53 years/1m85/NA

Aortic diameter NA

None but CAD

NA

Mother I.2

F

+/ -

75 years/NA/NA

Ascending aortic replacement; aortic diameter NA

None

COPD, lymphoma, arthritis

Son III.5

M

- / -

24 years/NA/NA

No aortic dilatation

None

None

Son III.6

M

- / -

25 years/NA/NA

No aortic dilatation

None

None

Brother II.2

M

- / -

61 years/1m83/130 kg

AoR: 45 mm (Z = 1.5 SD); AAo: 46 mm (Z = 2.8 SD) (tubular dilation remained stable during a 3-year period after treatment of high blood pressure)

None

None

Family 2: TAA-1839

p.(Ala468Glnfs*45)

c.1402del

Proband II.2

F

+/ -

48 years/1m70/77 kg

AoR: 42 mm (Z = 3.2 SD); AAo: 47 mm (Z = 4.7 SD)

None

Dolichostenomelia, hypertelorism, arthritis

Daughter III.3

F

+/ -

16 years/1m70/68 kg

AoR: 28 mm (Z = 0.7 SD); AAo: 32 mm (Z = 3.0 SD) mild aortic regurgitation

None found but tortuosity

Scoliosis

Sister II.3

F

+/ -

46 years/1m80/70 kg

AoR: 33 mm (Z = 0.9 SD); AAo: 36 mm (Z = 2.3 SD)

None

None

Mother I.2

F

- / -

75 years/NA/NA

AoR: 37 mm

NA

NA

Father I.1

M

+/ -

80 years/NA/NA

NA

NA

NA

Family 3: TAA-1850

p.(Asp46_Gly48dup)

c.137_145dup

Proband II.3

M

+/ -

39 years/1m77/93 kg

AoR: 48 mm (Z = 4.0 SD); AAo: 35 mm (Z = 1.6 SD)

CAD (MI at 39 years)

Hypercholesterolemia, hypertension, active smoker

Daughter III.1

F

- / -

16 years/1m67/NA

AoR: 30 mm (normal)

None

None

Daughter III.2

F

- / -

12 years/NA/NA

No aortic dilatation

None

None

Son III.3

M

- / -

17 years/NA/NA

AoR: 32 mm; AAo: 26 mm (normal)

None

None

Brother II.4

M

+/ -

44 years/1m82/NA

Aortic dissection at 42 years (dilatation of the AAo present prior to dissection)

NA

NA

Father I.1

M

+/ -

68 years/1m81/NA

Aortic diameter NA operated for aortic dilatation of AAo and abdominal aorta

NA

NA

Family 4: TAA-1817

p.(Tyr321Asn)

c.961T>A

Proband

F

+/ -

64 years/1m67/56 kg

AoR: 44 mm (Z = 3.9 SD); Bentall surgery for aortic regurgitation at 61 years

None

Spontaneous pneumothorax

Daughter

F

+/ -

25 years/1m78/62 kg

AoR: 30 mm (Z = 0.8 SD); AAo: 29 mm (Z = 1.3 SD)

None

None

Family 5: TAA-1819

p.(Arg781Trp)

c.2341C>T

rs767807136

Proband

M

+/ -

57 years/NA/NA

AoR: 50 mm (electively replaced) bicuspid aortic valve, hypertension

Raynaud syndrome

None

Brother

M

- / -

84 years/NA/NA

Aortic diameter NA no clinical manifestation of TAA

None

None

  1. Z score according to Campens.
  2. AAo ascending aorta, AoR aortic root, CAD coronary artery disease, COPD chronic obstructive pulmonary disease, LOF loss-of-function, MI myocardial infarction, NA not available, TAAD thoracic aortic aneurysm and dissection.