Sudden death due to aortic dissection in early pregnancy – a case report

Shetty, Akshith Raj S; Chandra, YP Girish; Praveen, S; Gajula, Somusekhar

doi:10.1177/0025817217694108

Cited by 3 publications

(3 citation statements)

References 13 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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“…The common risks of aortic disease were gene disorders and hypertension, thus the pregnancy with high blood pressure or Marfan syndrome, Ehlers-Danlos syndrome … should be confirm the differential diagnosis with aortic dissension or rupture when they had acute chest pain [[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11]].…”

Section: Discussionmentioning

confidence: 99%

“…The aortic dissection and rupture are uncommon but emergency condition with high mortality for both mother and fetus [[9], [10], [11]]. Stanford type B dissection were approximated 20% and the report about aortic arch dissection was very rare [1,2,9,10].…”

Section: Introductionmentioning

confidence: 99%

Successful emergency management for aortic arch rupture in pregnancy at first trimesters: A case report

Tran

2019

International Journal of Surgery Case Reports

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Antepartum acute Stanford type A aortic dissection: a case report and literature review

Song

Lü

et al. 2022

J Cardiothorac Surg

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Background Aortic dissection in pregnancy is a life-threatening event that is associated with high maternal and foetal mortality. Most cases occur during the third trimester of pregnancy, Herein, we describe a case of a pregnant woman with acute type A aortic dissection at 28 weeks of gestation. Case presentation A previously healthy, 24-year-old gravida 2 para 1 woman was brought to the emergency department during at the 28 weeks of gestation and diagnosed with acute type A aortic dissection. Cesarean section was performed with the cardiac surgical team on standby for cardiopulmonary bypass and the patient delivered a baby weighing 1000 g. After the operation, we performed the Beatall procedure and total arch replacement with FET using the deep hypothermic circulatory arrest technique. Both the mother and child survived and recovered well. A review of the literature on antepartum acute aortic dissection during pregnancy is also presented. Conclusion Women should have a comprehensive, systematic physical examination before getting pregnant. Women at high risks of aortic dissection must undergo multidisciplinary evaluation and be counseled before pregnancy, once they become pregnant, their consistent aortic root diameter should be consistently monitored, and their blood pressure strictly controlled.

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Sudden death due to aortic dissection in early pregnancy – a case report

Cited by 3 publications

References 13 publications

Aortic dissection during pregnancy and postpartum

Aortic dissection during pregnancy and postpartum

Successful emergency management for aortic arch rupture in pregnancy at first trimesters: A case report

Antepartum acute Stanford type A aortic dissection: a case report and literature review

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