Aortic dissection during pregnancy and postpartum

Meng, Xia; Han, Jianing; Wang, Li

doi:10.1111/jocs.15575

Cited by 16 publications

(11 citation statements)

References 94 publications

(102 reference statements)

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“…The majority of pregnancy-related aortic dissection cases reported in previous studies were associated with connective tissue disorders (Marfan syndrome and Takayasu arteritis), hypertension, bicuspid aortic valve, and Turner syndrome. [12][13][14][15][16] However, no connective tissue disorder or other risk factors were identified in two of the patients in the present study, which suggested an unknown etiology of the disease.…”

Section: Discussioncontrasting

confidence: 59%

Outcomes of acute type A aortic dissection repair during pregnancy

Wang

Sun

Zhang

et al. 2022

Intl J Gynecology & Obste

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Objective To evaluate the efficacy and safety of performing cesarean section surgery before aortic repair after acute type A aortic dissection (ATAAD) during pregnancy. Methods A total of six patients who received ATAAD repair during their pregnancies were retrospectively identified in the hospital database from January 2002 to December 2021. Results The mean gestational period at the time of aortic repair was 35.3 ± 2.7 weeks, and the aortic root diameter ranged from 40 to 60 mm. The mean time from disease onset to arrival at the operation room was 20.3 ± 10.8 h (range 10–36 h). All patients successfully received aortic repair operations following cesarean section and survived the peri‐surgery period without developing major complications. All fetuses were successfully delivered. After an average follow up of 25.8 months, all patients and their children had survived without developing major complications except for one mother who committed suicide 6 months after discharge as a result of postpartum depression. Conclusion The present study suggested that ATAAD repair can be safely performed in the third‐trimester.

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Section: Discussioncontrasting

confidence: 59%

Outcomes of acute type A aortic dissection repair during pregnancy

Wang

Sun

Zhang

et al. 2022

Intl J Gynecology & Obste

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“…It is an acute vascular pathology that is associated with various pathologies such as hypertension, atherosclerosis, hyperlipidaemia, and Marfan syndrome. The study of these related diseases not only aids to reveal the pathogenesis of renal cysts but also has positive implications for predicting the emergence of aortic coarctation [ 5 , 6 ]. In recent years, as research on aortic coarctation has intensified, some scholars have pointed out that renal cysts are more common in patients with aortic coarctation [ 7 ], but there are still few studies on the association between these two diseases.…”

Section: Introductionmentioning

confidence: 99%

The Correlation and Copathogenesis of Coronary Aortic Sandwich and Renal Cysts

Zhang

Gong

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To determine the correlation for aortic occlusion and hydronephrosis and the pathogenesis of copathogenesis. Methods. A retrospective census was established to probe the correlation with renal cysts by gathering aortic coarctation details concerning generic symptoms, diabetes, and liver and kidney profiles from 244 hospitalized aortic clinographers from April 2014 to December 2021 (study category, SG category), 150 hypertensive clients with primary hypertension attending our institution in the same period (matched category, MG category), and 150 able-bodied volunteers (control category, CG category). Results. (1) Intercategory discrepancies in regard to aortic occlusion, diabetic malfunction, and kidney and liver abnormality were neither mutually nor predominantly measured ( P > 0.05 ); (2) 244 enrolled SG for aortic occlusion and 150 CG for aortic occlusion were categorized by whether or not aortic occlusion was manifested, and the correlation between maternal age, gender, diabetic malfunction, and kidney and liver abnormality and renal cysts was estimated. The correlation of clogged aorta was demonstrated by a multifactorial logistic regression with gender and the presence of renal cysts ( P < 0.05 ); (3) the correlation of clogged aorta was demonstrated by a multifactorial logistic regression with renal cysts as an independent risk factor for clogged aorta (95% CI: 1.028–10.291; P = 0.031 ). Conclusion. As renal cysts are an autonomous risk of aortic coarctation, it is recommendable to strengthen clinical investigations such as monitoring of clinical blood pressures in kidney cyst recipients to assess their aortic function in order to evaluate their prognosis and minimize the prevalence of aortic coarctation.

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“…Most patients have hypertension at the time of onset, and asymmetry of arterial blood pressure in bilateral extremities is also an important manifestation. [13] In this study, both patients had the above symptoms, and their symptoms were easily misdiagnosed as pulmonary embolism, coronary heart disease, and acute abdomen. When pregnant women have acute chest pain (70%), back pain (21.7%) or epigastric pain (2.5%), as well as dyspnea, persistent cough, syncope, and circulatory failure, the possibility of AD should be considered.…”

Section: Discussionmentioning

confidence: 83%