Diagnosis and Treatment of Pregnancy Concurrent with Asymptomatic Aortic Dissection

Authors

  • Shao Wenchong Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Ji’nan, China
  • Tian Ailing Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Ji’nan, China
  • Fan Lufeng Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Ji’nan, China
  • Wu Han Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Ji’nan, China
  • Nianfeng Sun Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Ji’nan, China

DOI:

https://doi.org/10.1532/hsf.3573

Keywords:

Aortic dissection, Pregnancy, Asymptomatic, Diagnosis, Treatment

Abstract

Background: Aortic dissection (AD) refers to false lumen dissected from true lumen via the internal membrane when endovascular blood flows into the aortic wall through the cleavage, which is formed after endomembrane gape of the aortic wall. Aortic dissection is a disease of extreme danger. Pregnancy is an independent risk factor for aortic dissection. Pregnancy concurrent with aortic dissection rarely is seen, not to mention pregnancy concurrent with asymptomatic aortic dissection.

Case report: We present the case of a 34-year-old female patient, who was 25+ weeks pregnant, concurrent with aortic dissection. She was accepted by our hospital and successfully treated. Retrospective analysis of clinical data was carried out in this paper by combining related literature.

Conclusion: This disease should be correctly straightened out to prevent misdiagnosis and save the patient’s life.
Multidisciplinary joint decisions should be made to save lives of the patient and her fetus.

References

Braverman AC. 2010. Acute aortic dissection: clinician update[J]. Circulation. 122(2):184-188.

Erbel R, Aboyans V, Boileau C, et al. 2014. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases [J]. Eur Heart J. 35 (41) :2873-2926.

Katsuragi S, Ueda K, Yamanaka K, et al. 2011. Pregnancy-associated aortic dilatation or dissection in Japanese women with Marfan syndrome [J]. Circ. 75(11):2545-2551.

Katz NM, Collea JV, Moront MG, et al. 1984. Aortic dissection during pregnancy: treatment by emergency cesarean section immediately followed by operative repair of the aortic dissection [J]. Am J Cardiol. 54(6):699-701.

Sanghavi M, Rutherford JD. 2014. Cardiovascular physiology of pregnancy [J]. Circulation. 130 (12): 1003-1008.

Shu C, Fang K, Dardik A, et al. 2014. Pregnancy associated type B aortic dissection treated with thoracic endovascular aneurysm repair [J]. Ann Thorac Surg. 97 (2): 582-587.

Smok DA. 2014. Aortopathy in pregnancy [J]. Semin Perinatol. 38(5):295-303.

Tefera G. 2010. Traumatic thoracic aortic injury and ruptures [J]. J Vasc Surg. 52:41S-44s.

Woussen S, Lopez-Rendon X, Vanbeckevoort D, et al. 2016. Clinical indications and radiation doses to the conceptus associated with CT imaging in pregnancy: a retrospective study [J]. Eur Radiol. 26(4):979-985.

Zeebregts CJ, Schepens MA, Hameeteman TM, et al. 1997. Acute aortic dissection complicating pregnancy [J]. Ann Thorac Surg. 64(5):1345-1348.

Published

2021-06-10

How to Cite

Wenchong, S., Ailing, T., Lufeng, F., Han, W., & Sun, N. (2021). Diagnosis and Treatment of Pregnancy Concurrent with Asymptomatic Aortic Dissection. The Heart Surgery Forum, 24(3), E493-E495. https://doi.org/10.1532/hsf.3573

Issue

Section

Articles