| Autor: |
Yumiko Miyazaki, Makoto Orisaka, Masataka Kato, Hiroshi Kawamura, Tetsuji Kurokawa, Yoshio Yoshida |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Case Reports in Women's Health, Vol 32, Iss , Pp e00342- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2214-9112 |
| DOI: |
10.1016/j.crwh.2021.e00342 |
| Popis: |
Aortic dissection during pregnancy is rare but can be life-threatening to both the mother and the foetus. Marfan syndrome is a major risk factor for acute aortic dissection during pregnancy. Here, we present the case of a woman who had not been diagnosed with Marfan syndrome prior to pregnancy and who developed acute type B dissection at 32 weeks of gestation. The maternal hemodynamic status was stable, and foetal well-being was ensured. However, under conservative treatment, the dissection extended to the descending aorta, reaching the bilateral iliac artery 2 days later. Due to foetal distress, preterm delivery was performed via caesarean section. The primary treatment of type B aortic dissection is conservative medical treatment, with the goals of hemodynamic stabilisation, minimising the extent of the dissection and decreasing the risk of rupture. However, type B aortic dissection, even the uncomplicated type, in pregnant women may require early and aggressive obstetric interventions to improve maternal and foetal prognoses. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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