State-of-the-Art Paper
The Dilated Aorta in Patients With Congenital Cardiac Defects

https://doi.org/10.1016/j.jacc.2008.10.035Get rights and content
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Many patients with congenital cardiac disease are at risk for progressive aortic dilation. The mechanisms underlying aortic dilation in this patient cohort are described, and the similarities to the pathophysiologic alterations seen in Marfan syndrome are highlighted. Indications for treatment are discussed.

Key Words

aneurysm
aorta
dissection

Abbreviations and Acronyms

ACE
angiotensin-converting enzyme
BAV
bicuspid aortic valve
MMP
matrix metalloproteinase
TGF
transforming growth factor
TIMP
tissue inhibitors of matrix metalloproteinase

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