Diagnosis of asymptomatic aortic dissection during pregnancy using contrast echocardiography

Abo-Salem, Elsayed; López‐Candales, Angel

doi:10.1016/j.jccase.2014.01.007

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…[1][2][3] We finally took on 13 cases of asymptomatic AD (Table 1). [4][5][6][7][8][9][10][11][12][13][14][15][16] Their main features were as follows:…”

Section: Literature Reviewmentioning

confidence: 99%

“…We finally took on 13 cases of asymptomatic AD (Table 1). 4‐16 Their main features were as follows: (a) most of the asymptomatic AD patients were diagnosed incidentally; (b) there was no significant gender difference (7 males and 6 females); (c) asymptomatic AD can occur not only in elderly (the oldest case was 80‐year old) but also in young individuals (the youngest was 23‐year old), especially those with Marfanoid family history; (d) Of the 9 patients who had undergone TTE examination, 8 had shown suspected or distinct intimal flap; (e) aortic aneurysmal dilation was observed in 7 patients; (f) most patients had short‐segmental type A AD (10/13), while long‐segmental asymptomatic type A AD was rare (only 1 case).…”

Section: Literature Reviewmentioning

confidence: 99%

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Asymptomatic long‐segmental type A aortic dissection diagnosed by transthoracic echocardiography: A case report and literature review

Wang

Cai

et al. 2020

J of Clinical Ultrasound

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Aortic dissection (AD) is a life-threatening disease. Patients usually experience severe pain in the chest, back, or abdomen, but some patients report a variety of other symptoms without pain. Completely asymptomatic AD is sporadic and probably under-recognized. The present study aimed to (a) report an extremely rare case of asymptomatic long-segmental type A AD, wherein exaggeratedly low diastolic blood pressure and broad pulse pressure were the primary signs, and (b) summarize the clinical characteristics of asymptomatic AD through the literature review.

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“…[1][2][3] We finally took on 13 cases of asymptomatic AD (Table 1). [4][5][6][7][8][9][10][11][12][13][14][15][16] Their main features were as follows:…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Asymptomatic long‐segmental type A aortic dissection diagnosed by transthoracic echocardiography: A case report and literature review

Wang

Cai

et al. 2020

J of Clinical Ultrasound

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“…Many women present acutely with sudden‐onset, severe chest pain, and hemodynamic instability 7,12,13 . Although more subtle presentations can easily be mistaken for common pregnancy complaints, such as uncontrolled hypertension, gastroesophageal reflux, and neurological deficits 14 .…”

Section: Introductionmentioning

confidence: 99%

Acute aortic dissection during pregnancy: Trials and tribulations

et al. 2020

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Background Type A acute aortic dissection (TAAD) during pregnancy is a life‐threatening event for both the mother and the unborn baby. Pregnancy has been recognized as an independent risk factor for TAAD, postulated to be due to physiological changes that cause hyperdynamic circulation. This review seeks to outline the current controversies around this unique group. Methods A comprehensive literature search was carried out across large databases to assimilate relevant papers regarding acute aortic dissection in pregnant women. Results The presentation can be atypical in many cases and further concern from clinicians of fetal radiation exposure can result in missed or delayed diagnoses. Investigation via the quickest form of imaging, whether computed tomography, magnetic resonance imaging, or transesophageal echocardiography, should be carried out promptly due to the high risk of mortality. Surgical management of TAAD in pregnancy revolves primarily around the decision to deliver the fetus concomitantly or to perform the aortic repair with the fetus in utero. Conclusions Management of this group includes rapid and dynamic assessment without delay. From conception to postpartum, there are multiple stages in which to manage these women. Challenges in carrying out management in the form of operative techniques and cardiopulmonary bypass place the fetus at risk and must be approached with caution, particularly as there is little evidence‐base for many of these decisions. Further research into reducing maternal and fetal mortality is necessary.

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“…Many women present acutely with sudden-onset, severe chest pain and haemodynamic instability 7,12,13 . Although more subtle presentations can easily be mistaken for common pregnancy complaints, such as uncontrolled hypertension, gastro-oesophageal reflux and neurological deficits 14 .…”

Section: Introductionmentioning

confidence: 99%

Acute Type A Aortic Dissection during Pregnancy: Trials and Tribulations

Rimmer

Heyward-Chaplin

South

et al. 2020

Preprint

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Type A acute aortic dissection (TAAD) during pregnancy is a life-threatening event for both the mother and unborn baby. Pregnancy has been recognised as an independent risk factor for TAAD, postulated to be due to physiological changes that cause hyperdynamic circulation. Presentation can be atypical in many cases and further concern from clinicians of fetal radiation exposure can result in missed or delayed diagnoses. Investigation via quickest form of imaging, whether CT, MRI or transoesophageal echocardiography, should be carried out promptly due to the high risk of mortality. Surgical management of TAAD in pregnancy revolves primarily around the decision to deliver the foetus concomitantly or to perform aortic repair with the foetus in utero. This review will summarise the difficulties faced when managing TAAD in pregnancy, and important questions for future research.

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Diagnosis of asymptomatic aortic dissection during pregnancy using contrast echocardiography

Cited by 8 publications

References 9 publications

Asymptomatic long‐segmental type A aortic dissection diagnosed by transthoracic echocardiography: A case report and literature review

Asymptomatic long‐segmental type A aortic dissection diagnosed by transthoracic echocardiography: A case report and literature review

Acute aortic dissection during pregnancy: Trials and tribulations

Acute Type A Aortic Dissection during Pregnancy: Trials and Tribulations

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