JACC. Case reports · 2026
Giant Ascending Aortic Aneurysm Diagnosed During Labor.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Méndez Jiménez Edgar, Lizano Villarreal Maria Jose, Induni López Eduardo, Zeledón Sánchez Fernando, Quesada Arroyo Gerardo, Herrera Alfaro Álvaro
Аннотация
BACKGROUND: Giant ascending aortic aneurysms (AscAAs; >10 cm) are exceptionally rare and may remain clinically silent until catastrophic complications occur. We report the incidental diagnosis of a giant AscAA during labor in a previously asymptomatic young woman.
CASE SUMMARY: A 20-year-old primigravid woman underwent emergency cesarean delivery for maternal hemodynamic and respiratory instability. Postpartum echocardiography (transthoracic echocardiography) revealed a 140-mm AscAA with severe aortic regurgitation and left ventricular dilatation; computed tomography angiography confirmed a maximum diameter of 125 mm. Three weeks later, she underwent a Bentall procedure. Femoral cannulation was established before sternotomy because of the aneurysm's proximity to the sternum. The aorta was safely cross-clamped proximal to the brachiocephalic trunk, avoiding circulatory arrest. Recovery was uneventful, and she has remained asymptomatic at the 4-month follow-up.
DISCUSSION: Giant AscAAs during pregnancy are extraordinarily uncommon and carry a high risk of rupture, dissection, and maternal mortality, requiring meticulous multidisciplinary planning.
TAKE-HOME MESSAGE: Early multimodality imaging and individualized surgical planning are essential for achieving favorable outcomes in this life-threatening condition.
CASE SUMMARY: A 20-year-old primigravid woman underwent emergency cesarean delivery for maternal hemodynamic and respiratory instability. Postpartum echocardiography (transthoracic echocardiography) revealed a 140-mm AscAA with severe aortic regurgitation and left ventricular dilatation; computed tomography angiography confirmed a maximum diameter of 125 mm. Three weeks later, she underwent a Bentall procedure. Femoral cannulation was established before sternotomy because of the aneurysm's proximity to the sternum. The aorta was safely cross-clamped proximal to the brachiocephalic trunk, avoiding circulatory arrest. Recovery was uneventful, and she has remained asymptomatic at the 4-month follow-up.
DISCUSSION: Giant AscAAs during pregnancy are extraordinarily uncommon and carry a high risk of rupture, dissection, and maternal mortality, requiring meticulous multidisciplinary planning.
TAKE-HOME MESSAGE: Early multimodality imaging and individualized surgical planning are essential for achieving favorable outcomes in this life-threatening condition.