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Loeys-Dietz syndrome is a Marfan-like aortic aneurysm syndrome. Initially, in its most typical presentation, it was associated with hypertelorism, cleft palate/bifid uvula, and widespread aortic/arterial aneurysm and tortuosity, but more recently a widespread clinical spectrum has been described. Mutations in genes coding for different components of the TGF-β signaling (TGFBR1/2, SMAD3, TGFB2/3) cause this disease. Early recognition and appropriate management should be life-saving measures.