Zeitschrift fur Geburtshilfe und Neonatologie · 2001
[Aortic dissection in pregnancy in Marfan syndrome--case report and treatment concept].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Preiss M, Hösli I, Holzgreve W, Zerkowski H R
Аннотация
PATIENTS AND METHODS: Herein we report the case of a 37 year old pregnant women with Marfan syndrome with dilatation of the aorta ascendens of 42 mm preconceptionAl. The dilatation remained stable until 34 weeks of gestation when a aortic dissection (De Bakey type I) occurRed rapidly. The patient underwent a cesarean section and hysterectomy, followed by surgery of the aorta asc. by means of implantation of a valved graft immediately.
CONCLUSIONS: The criteria of a dilatation of the aorta ascendens < 40 mm does not identify reliably those patients who are at risk of dissection during pregnancy. A interdisciplinary approach together with obstetricians, cardiologists and cardiac surgeons is mandatory in all cases of Marfan syndrome and pregnancy.
CONCLUSIONS: The criteria of a dilatation of the aorta ascendens < 40 mm does not identify reliably those patients who are at risk of dissection during pregnancy. A interdisciplinary approach together with obstetricians, cardiologists and cardiac surgeons is mandatory in all cases of Marfan syndrome and pregnancy.
Предметные рубрики MeSH
Aortic DissectionAortaAortic Aneurysm, ThoracicBlood Vessel Prosthesis ImplantationCesarean SectionEchocardiography, TransesophagealFemaleHeart Valve Prosthesis ImplantationHumansHysterectomyInfant, NewbornMarfan SyndromePatient Care TeamPregnancyPregnancy Complications, CardiovascularProsthesis DesignUltrasonography, Prenatal