DOI QR코드

DOI QR Code

Acute Type II Aortic Dissection with Severe Aortic Regurgitation and Chronic Descending Aortic Dissection in Pregnant Patient with Marfan Syndrome

  • Lee, Seok-Soo (Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine) ;
  • Jung, Tae-Eun (Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine) ;
  • Lee, Dong Hyup (Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine)
  • Received : 2012.06.26
  • Accepted : 2012.08.16
  • Published : 2012.12.05

Abstract

Aortic dilatation and dissection are severe complications during pregnancy that can be fatal to both the mother and the fetus. The risks of these complications are especially high in pregnant patients with Marfan syndrome; however, incidents of descending aortic dissection are very rare. This case report involves a successful Bentall procedure for and recovery from a rare aortic dissection in a pregnant Marfan patient who developed acute type II aortic dissection with severe aortic regurgitation and chronic descending aortic dissection immediately after Cesarean section. Regular follow-up will be needed to monitor the descending aortic dissection.

Keywords

References

  1. Vranes M, Velinovic M, Kovacevic-Kostic N, Savic D, Nikolic D, Karan R. Pregnancy-related aortic aneurysm and dissection in patients with Marfan's syndrome: medical and surgical management during pregnancy and after delivery. Medicina (Kaunas) 2011;47:604-6.
  2. Aziz F, Penupolu S, Alok A, Doddi S, Abed M. Peripartum acute aortic dissection: a case report & review of literature. J Thorac Dis 2011;3:65-7.
  3. Houston L, Tuuli M, Macones G. Marfan syndrome and aortic dissection in pregnancy. Obstet Gynecol 2011;117:956-60. https://doi.org/10.1097/AOG.0b013e3182107310
  4. Guo C, Xu D, Wang C. Successful treatment for acute aortic dissection in pregnancy: Bentall procedure concomitant with cesarean section. J Cardiothorac Surg 2011;6:139. https://doi.org/10.1186/1749-8090-6-139
  5. McDermott CD, Sermer M, Siu SC, David TE, Colman JM. Aortic dissection complicating pregnancy following prophylactic aortic root replacement in a woman with Marfan syndrome. Int J Cardiol 2007;120:427-30. https://doi.org/10.1016/j.ijcard.2006.09.023
  6. European Society of Gynecology; Association for European Paediatric Cardiology; German Society for Gender Medicine, et al. ESC guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J 2011;32:3147-97. https://doi.org/10.1093/eurheartj/ehr218
  7. Hall ME, George EM, Granger JP. The heart during pregnancy. Rev Esp Cardiol 2011;64:1045-50. https://doi.org/10.1016/j.recesp.2011.07.009
  8. Rossiter JP, Repke JT, Morales AJ, Murphy EA, Pyeritz RE. A prospective longitudinal evaluation of pregnancy in the Marfan syndrome. Am J Obstet Gynecol 1995;173:1599-606 https://doi.org/10.1016/0002-9378(95)90655-X

Cited by

  1. Acute Aortic Dissection in Pregnancy with the Marfan Syndrome vol.47, pp.3, 2012, https://doi.org/10.5090/kjtcs.2014.47.3.291
  2. Pregnancy-related acute aortic dissection in Marfan syndrome: A review of the literature : Smith and Gros vol.12, pp.3, 2012, https://doi.org/10.1111/chd.12465
  3. Aortic dissection during pregnancy and postpartum vol.36, pp.7, 2012, https://doi.org/10.1111/jocs.15575