Are Aortic Stent Grafts Safe in Pregnancy?

Khandanpour, Nader; Mehta, Tapan; Adiseshiah, M; Meyer, Felicity J.

doi:10.1155/2015/190878

Cited by 1 publication

(1 citation statement)

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“…Overall, maternal and neonatal outcomes are favorable with careful management. A search of the literature revealed one case with expectant management of claudication with no permanent sequelae [4], and a single case of graft occlusion during pregnancy [5]. However, the patient with graft occlusion only had symptoms of claudication with physical activity and was successfully managed with antiplatelet therapy using aspirin.…”

Section: Introductionmentioning

confidence: 99%

When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion

McGriff

Percer

Sosa

et al. 2019

Case Reports in Obstetrics and Gynecology

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Background Peripheral arterial disease (PAD) in pregnancy has serious implications and requires multidisciplinary management. This becomes even more complicated in the setting of active disease and history of prior vascular grafts. Case A woman presented with increasing left lower extremity pain at 18 weeks of gestation with a complex history of PAD and a previous bifurcated aorta-left femoral, -right iliac bypass. CT angiogram demonstrated known occluded bypass graft. A multidisciplinary team of providers developed guidelines for potential surgical intervention based upon clinical symptoms. Conclusion Pelvic PAD can worsen in pregnancy in the setting of the enlarging uterus, which can potentially deplete perfusion of existing collateral vessels. Symptomatic approach to worsening disease provided an effective management strategy in this case.

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Section: Introductionmentioning

confidence: 99%