Aortic dissection accompanied by preeclampsia in a postpartum young woman

Park, Jin-Wan; Kim, Su-Mi; Yu, Gyu-Bong; Kang, Yun-Dan

doi:10.5468/ogs.2016.59.5.403

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…The systematic literature search yielded 465 potentially eligible studies. After exclusion, cross‐referencing, and reaching an agreement on three authors, 80 studies were included in this systematic literature review 5–84 (Figure 1). This resulted in a total study of 103 patients with aortic dissection during 6 months before delivery to 12 weeks postpartum.…”

Section: Resultsmentioning

confidence: 99%

Aortic dissection during pregnancy and postpartum

Meng

Han

Wang

2021

Journal of Cardiac Surgery

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Background: Patients with aortic dissection during pregnancy and postpartum period exhibit a high mortality. At present, a complete overview of aortic dissection during pregnancy and postpartum period is lacking.Methods: This systematic review included 80 reports published from 2000 to 2020, comprising a total study population of 103 patients with aortic dissection.Results: We found that Stanford Type A aortic dissection was more common in prepartum cases, especially in the third trimester, while postpartum cases of aortic dissection were more common in Stanford Type B. The most common risk factor was connective tissue disease, with no other known risk factors. The mode of delivery had no significant effect on the type of postpartum aortic dissection. Reduced maternal and fetal mortality was observed when patients with Stanford Type A aortic dissection occurring after 28 gestational weeks underwent cesarean section followed by aortic replacement. Patients with Stanford Type B aortic dissection were treated mainly with medication and/or endovascular repair. Conclusion:Contemporary management of patients during pregnancy and within 12 weeks postpartum requires multidisciplinary cooperation and includes serial, noninvasive imaging, biomarker testing, and genetic risk profiling for aortopathy.Early diagnosis and accurate treatment are essential to reduce maternal and fetal mortality.

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Section: Resultsmentioning

confidence: 99%

Aortic dissection during pregnancy and postpartum

Meng

Han

Wang

2021

Journal of Cardiac Surgery

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“…Tachycardia, increased cardiac output observed during pregnancy, expanded intravascular volume and position dependent compression of the distal aorta and iliac arteries by the gravid uterus stresses the proximal aorta [ 4 ]. Preeclampsia is another risk factor often associated with aortic dissection [ 9 ]. In most cases of aortic dissection the histological findings show medial degeneration with mucoid degeneration and loss of elastic fibres.…”

Section: Discussionmentioning

confidence: 99%

Retrograde type a dissection in a 24th gestational week pregnant patient – the importance of interdisciplinary interaction to a successful outcome

Easo

Horst

Schmuck³

et al. 2018

J Cardiothorac Surg

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BackgroundType A Dissection in pregnancy is a devastating medical condition with 2 lives at stake and unclear strategy at early gestational stages. We describe a successful outcome, clearly dependent on the coordination of all involved disciplines.Case presentationThis case history describes a 28 year old female with a 24th week pregnancy gravida 2 para 0 with a DeBakey Type I aortic dissection, diagnosed via ultrasound. Surgery was perfomed on the day of diagnosis. After conferral with the mother, caesarean section was performed and a 690 g fetus could be delivered and was immediately transferred to the neonatal unit. Subsequent aortic repair was performed after hysterectomy, with replacement of the ascending aorta and hemiarch treatment. Intraoperatively no entry in the ascending aorta or transverse arch could be demonstrated, so that a retrograde Type A with entry distal to the left subclavian had to be postulated. We decided to perform subsequent computer tomography, demonstrating multiple entry sites in the descending aorta distal to the left subclavian artery. Successful endovascular treatment could be performed with a Medtronic Valiant Stent via a transfemoral approach. The further hospital stay was uneventful and the patient could be discharged on the 18th postoperative day. The baby demonstrated fighter qualities and could be discharged home after a 3 month hospital stay to be reunited with his mother.ConclusionPrompt diagnosis, precise coordination between all involved subspecialties and ultimately, as in this case, definitive treatment in consensus with operative and interventional departments have led to a successful outcome and encourages us in our daily struggle in this often demanding surgery.

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“…Although the incidence is low overall, there is an increased risk of acute MI and aortic dissection in pregnant patients when compared to age-matched nonpregnant patients, particularly in pregnant and postpartum patients with a history of bicuspid aortic valve or connective tissue disorders. Hypertension, especially, is a risk factor for aortic dissection and patients like ours can present with preeclampsia postpartum [1,4,5]. PE accounts for 9.2% of all pregnancy-related deaths in the United States [6].…”

Section: Introductionmentioning

confidence: 99%

Cardiac Hemangioma: A Rare Tumor Presenting as Postpartum Chest Pain

Shah,

Russo,

Haddad

et al. 2023

Cureus

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Pulmonary embolism, peripartum cardiomyopathy, acute myocardial infarction, aortic dissection, anxiety, and gastroesophageal reflux disease are known causes of chest pain during the peripartum period. A cardiac tumor is a rare cause of chest pain during this time period. While cardiac myxomas during pregnancy have been reported, cardiac hemangiomas are exceptionally rare. To the best of our knowledge, there are no existing case reports regarding cardiac hemangiomas in either pregnant or postpartum patients. Here, we present a 23-year-old female who presented with visual changes, headache, and midsternal pain and was subsequently found to have a cardiac hemangioma.

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Aortic dissection accompanied by preeclampsia in a postpartum young woman

Cited by 5 publications

References 14 publications

Aortic dissection during pregnancy and postpartum

Aortic dissection during pregnancy and postpartum

Retrograde type a dissection in a 24th gestational week pregnant patient – the importance of interdisciplinary interaction to a successful outcome

Cardiac Hemangioma: A Rare Tumor Presenting as Postpartum Chest Pain

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