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DOI: 10.1055/s-2001-9914
Acute Aortic Dissection during Pregnancy
Publication History
Publication Date:
31 December 2001 (online)
We review the cases of two women with acute aortic dissection during their last trimester of pregnancy who underwent aortic root replacement. One patient with type A dissection had to undergo surgical intervention immediately, and required extracorporal membrane oxygenation for four days. The other patient with a pre-diagnosed Marfan's disease had suffered a type B dissection and had to undergo emergency operation after developing a type A dissection nine days later.
Key words:
Aortic dissection - Pregnancy - ECMO
References
- 1 Katz N M, Collea J V, Moront M G, MacKenzie R D, Wallace R B. Aortic dissection during pregnancy: treatment by emergency cesarean section immediately followed by operative repair of the aortic dissection. Am J Cardiol. 1984; 54 699-701
- 2 Oskoui R, Lindsay J Jr. Aortic dissection in women < 40 years of age and the unimportance of pregnancy. Am J Cardiol. 1994; 73 821-823
- 3 Jayaram A, Carp H M, Davis L, Jacobson S L. Pregnancy complicated by aortic dissection: cesarean delivery during extradural anaesthesia. Br J Anaesth. 1995; 75 358-360
- 4 Rutherford R B, Nolte J E. Aortic and other arterial dissections associated with pregnancy. Semin Vasc Surg. 1995; 8 299-305
- 5 Zitnik R S, Brandenburg R O, Sheldon R, Wallace R B. Pregnancy and open-heart surgery. Circulation. 1969; 39 (5 Suppl. 1) 257-262
- 6 Becker R M. Intracardiac surgery in pregnant women. Ann Thorac Surg. 1983; 36 453-458
- 7 Manalo-Estrella P, Barker A E. Histopathologic findings in human aortic media associated with pregnancy. Arch Pathol. 1967; 83 336-341
Received for Publication: May 8, 2000
Dr. A. M. Fabricius
Division of Cardiovascular Surgery Herzzentrum Leipzig
Russenstrasse 19
04289 Leipzig
Germany
Phone: 0049- 341-865-1421
Fax: 0049-341-865-1485
Email: faba@server3.medizin.uni-leipzig.de