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Genetic Testing Following Type A Thoracic Aortic Dissection — The Good, the Bad and the Ugly.

Title: Genetic Testing Following Type A Thoracic Aortic Dissection — The Good, the Bad and the Ugly.
Authors: Walker, Miriam Jassam; Simela, Carl; Psefteli, Paraskevi-Maria; Straw, Sam; Griffin, Kathryn; Baig, Wazir
Source: British Journal of Hospital Medicine (17508460); Dec2025, Vol. 86 Issue 12, p1-17, 17p
Abstract: Genetic testing is indicated for suspected familial thoracic aortic aneurysm or following dissection to complement targeted screening of first-degree relatives. Our data suggest that tissue storage and genetic testing in the setting of suspected heritable thoracic aortic aneurysm and dissection (HTAAD) are underutilized. In this focussed review, we outline the genetic basis of HTAAD and the current guidelines regarding genetic testing. We present a case series demonstrating both favourable and unfavourable genetic testing practices. We suggest potential improvements to current genetic testing algorithms, such as increased involvement of medical examiners and emergency department clinicians, to help identify patients and families suitable for genetic testing. Additionally, we provide a description of the pathophysiology underlying inheritable aortopathies. [ABSTRACT FROM AUTHOR]
: Copyright of British Journal of Hospital Medicine (17508460) is the property of Mark Allen Holdings Limited and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index