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Aortic dissection during pregnancy — obstetric perspective
, 1, 1, 1
Affiliations- Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, Poland
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Abstract
The risk of vascular events during pregnancy is substantially increased. Beyond comparatively frequent vascular diseases, pregnancy may lead also to the development of exceptionally rare vascular events such as the aortic dissection and aortic rupture which are conceivably endangering life conditions. Women with the connective tissue disorders and with a family history of the aorta diseases are especially prone to the aortic complications which may also develop in the absence of these risk factors due to the pregnancy-induced structural changes of the aortic wall. The preconception counselling is vital for patients with aortopathies to assess the risk of the aortic dissection and to establish the most appropriate care plan including the surgical intervention. This review presents the management guidelines in patients with the aortic dissection risk during pregnancy.
Abstract
The risk of vascular events during pregnancy is substantially increased. Beyond comparatively frequent vascular diseases, pregnancy may lead also to the development of exceptionally rare vascular events such as the aortic dissection and aortic rupture which are conceivably endangering life conditions. Women with the connective tissue disorders and with a family history of the aorta diseases are especially prone to the aortic complications which may also develop in the absence of these risk factors due to the pregnancy-induced structural changes of the aortic wall. The preconception counselling is vital for patients with aortopathies to assess the risk of the aortic dissection and to establish the most appropriate care plan including the surgical intervention. This review presents the management guidelines in patients with the aortic dissection risk during pregnancy.
Keywords
aortopathy; aortic dissection; Marfan syndrome; pregnancy
About this articleTitle
Aortic dissection during pregnancy — obstetric perspective
Journal
Issue
Article type
Review paper
Pages
346-350
Published online
2019-06-28
Page views
2854
Article views/downloads
2197
DOI
Pubmed
Bibliographic record
Ginekol Pol 2019;90(6):346-350.
Keywords
aortopathy
aortic dissection
Marfan syndrome
pregnancy
Authors
Elzbieta Poniedzialek-Czajkowska
Agata Sadowska
Radzislaw Mierzynski
Bozena Leszczynska-Gorzelak
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