Acute Aortic Dissection Complicating Pregnancy

Zeebregts, Clark J.; Schepens, Marc A.A.M.; Hameeteman, T. M.; Morshuis, Wim J.; Rivière, Aart Brutel de la

doi:10.1016/s0003-4975(97)00916-8

Cited by 132 publications

(99 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…23 Interestingly, the prevalence of bicuspid aortic valves was greater in women, suggesting a higher risk of dissection for women than men affected by bicuspid aortic valves. 24 In contrast, pregnancy-related dissection [25][26][27][28] accounted for only 2 patients among 346 women in IRAD. This suggests that aortic dissection is an extremely rare complication of pregnancy as long as the patient is not affected by any connective tissue disease.…”

Section: Nienaber Et Al Gender and Aortic Dissectionmentioning

confidence: 98%

Gender-Related Differences in Acute Aortic Dissection

et al. 2004

View full text Add to dashboard Cite

Background-Few data exist on gender-related differences in clinical presentation, diagnostic findings, management, and outcomes in acute aortic dissection (AAD). Methods and Results-Accordingly, we evaluated 1078 patients enrolled in the International Registry of Acute Aortic Dissection (IRAD) to assess differences in clinical features, management, and in-hospital outcomes between men and women. Of the patients enrolled in IRAD (32.1%) with AAD, 346 were women. Although less frequently affected by AAD (32.1% of AAD), women were significantly older and had more often presented later than men (Pϭ0.008); symptoms of coma/altered mental status were more common, whereas pulse deficit was less common. Diagnostic imaging suggestive of rupture, ie, periaortic hematoma, and pleural or pericardial effusion were more commonly observed in women. In-hospital complications of hypotension and tamponade occurred with greater frequency in women, resulting in higher in-hospital mortality compared with men. After adjustment for age and hypertension, women with aortic dissection die more frequently than men (OR, 1.4, Pϭ0.04), predominantly in the 66-to 75-year age group. Moreover, surgical outcome was worse in women than men (Pϭ0.013); type A dissection in women was associated with a higher surgical mortality of 32% versus 22% in men despite similar delay, surgical technique, and hemodynamics. Conclusions-Our analysis provides insights into gender-related differences in AAD with regard to clinical characteristics, management, and outcomes; important diagnostic and therapeutic implications may help shed light on aortic dissection in women to improve their outcomes.

show abstract

Section: Nienaber Et Al Gender and Aortic Dissectionmentioning

confidence: 98%

Gender-Related Differences in Acute Aortic Dissection

et al. 2004

View full text Add to dashboard Cite

show abstract

“…беременности возникает дилемма, при которой выбор хирургической стратегии зависит от состояния плода, при этом жизнь матери является приоритетом. Авторы отмечают, что использование данной тактики показало отсутствие материнской смертности, смерть плода была зафиксирована в одном случае в отдален-ном послеоперационном периоде [14].…”

Section: рис 4 мскт-аортография через 2 года после операцииunclassified

Hybrid surgical reconstruction of aorta dissection manifested during pregnancy

Kozlov¹,

Panfilo²,

Pryakhin³

et al. 2018

Russ J Cardiol

View full text Add to dashboard Cite

“…Immer et al (18) described 16 cases of pregnant women with MFS with type A dissection (mean aortic root diameter of 4.8±0.8 cm) with no maternal death, however, fetal deaths were reported in three cases. Goland et al (9) in a review of 39 cases of pregnancy related complications described AoD in 29, involving the ascending aorta (19 cases), descending aorta (8 cases) or both (2 cases), 8 of these women were undiagnosed with MFS prior to the occurrence of aortic complications (9,(19)(20)(21)(22). Five patients developed an AoD before week 20 of gestation (13-20 weeks), 18 patients at 24-40 weeks, and 6 after delivery.…”

Section: Risk For the Mothermentioning

confidence: 99%

“…Successful surgery during gestation or shortly after delivery has been described in a number of women for a marked dilatation of the aorta and for AoD (14,18,21,48,61,83). Because of the increased fetal loss associated with cardiac surgery during pregnancy (9,18,48,61,(83)(84)(85), a C-section should be done before or concomitantly with thoracic surgery in cases where fetal maturity can be confirmed (17,18,59).…”

Section: Surgery For Aortic Complication During Pregnancymentioning

confidence: 99%

Pregnancy and Marfan syndrome

Goland¹,

Elkayam²

2017

Ann. Cardiothorac. Surg.

View full text Add to dashboard Cite

Pregnancy in women with Marfan syndrome (MFS) presents challenges to the clinician and the patient due to the increased incidence of maternal complications and involvement of the fetus, and deserves special consideration. The leading cause of morbidity and mortality in MFS is aortic dissection. This article presents an extensive review of available clinical information and provides recommendations for the management of patients with MFS during pregnancy.

show abstract

Acute Aortic Dissection Complicating Pregnancy

Cited by 132 publications

References 8 publications

Gender-Related Differences in Acute Aortic Dissection

Gender-Related Differences in Acute Aortic Dissection

Hybrid surgical reconstruction of aorta dissection manifested during pregnancy

Pregnancy and Marfan syndrome

Contact Info

Product

Resources

About