Acute aortic dissection in pregnant women
Acute aortic dissection occurring during pregnancy represents a lethal risk to both the mother and fetus. Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2016-05, Vol.64 (5), p.283-285 |
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| creator | Yang, Zhaohua Yang, Shouguo Wang, Fangshun Wang, Chunsheng |
| description | Acute aortic dissection occurring during pregnancy represents a lethal risk to both the mother and fetus. Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33rd gestational week) with a bicuspid aortic valve and the other is a 32-year-old pregnant woman (30th gestational week) with the Marfan syndrome. In both cases, a combined emergency operation consisting of Cesarean section, total hysterectomy prior to corrective surgery for aortic dissection was successfully performed within a relatively short period of time after the onset. Both patients’ postoperative recovery was uneventful, and we achieved a favorable maternal and fetal outcome. |
| doi_str_mv | 10.1007/s11748-014-0460-4 |
| format | Article |
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Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33rd gestational week) with a bicuspid aortic valve and the other is a 32-year-old pregnant woman (30th gestational week) with the Marfan syndrome. In both cases, a combined emergency operation consisting of Cesarean section, total hysterectomy prior to corrective surgery for aortic dissection was successfully performed within a relatively short period of time after the onset. Both patients’ postoperative recovery was uneventful, and we achieved a favorable maternal and fetal outcome.</description><identifier>ISSN: 1863-6705</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-014-0460-4</identifier><identifier>PMID: 25085319</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Abdomen ; Adult ; Aneurysm, Dissecting - diagnostic imaging ; Aneurysm, Dissecting - surgery ; Aortic Aneurysm, Thoracic - diagnostic imaging ; Aortic Aneurysm, Thoracic - surgery ; Aortic dissection ; Blood ; Cardiac Surgery ; Cardiology ; Case Report ; Cesarean Section ; Coronary vessels ; Diagnosis, Differential ; Disease ; Emergency medical care ; Female ; Fetuses ; Heart ; Humans ; Hysterectomy ; Marfan syndrome ; Medicine ; Medicine & Public Health ; Perinatal Care ; Pregnancy ; Pregnancy Complications, Cardiovascular - diagnostic imaging ; Pregnancy Complications, Cardiovascular - surgery ; Surgery ; Surgical Oncology ; Thoracic Surgery ; Tomography ; Tomography, X-Ray Computed ; Uterus ; Vital signs</subject><ispartof>General thoracic and cardiovascular surgery, 2016-05, Vol.64 (5), p.283-285</ispartof><rights>The Japanese Association for Thoracic Surgery 2014</rights><rights>The Japanese Association for Thoracic Surgery 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-73babfd9d1756e3383010ef423dac1ec6207faf8bd7214317b371b40bd85e1fc3</citedby><cites>FETCH-LOGICAL-c363t-73babfd9d1756e3383010ef423dac1ec6207faf8bd7214317b371b40bd85e1fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-014-0460-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918739112?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,21393,21394,27929,27930,33535,33749,41493,42562,43664,43810,51324,64390,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25085319$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Zhaohua</creatorcontrib><creatorcontrib>Yang, Shouguo</creatorcontrib><creatorcontrib>Wang, Fangshun</creatorcontrib><creatorcontrib>Wang, Chunsheng</creatorcontrib><title>Acute aortic dissection in pregnant women</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>Acute aortic dissection occurring during pregnancy represents a lethal risk to both the mother and fetus. Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33rd gestational week) with a bicuspid aortic valve and the other is a 32-year-old pregnant woman (30th gestational week) with the Marfan syndrome. In both cases, a combined emergency operation consisting of Cesarean section, total hysterectomy prior to corrective surgery for aortic dissection was successfully performed within a relatively short period of time after the onset. Both patients’ postoperative recovery was uneventful, and we achieved a favorable maternal and fetal outcome.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Aortic dissection</subject><subject>Blood</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Cesarean Section</subject><subject>Coronary vessels</subject><subject>Diagnosis, Differential</subject><subject>Disease</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Fetuses</subject><subject>Heart</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Marfan syndrome</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Perinatal Care</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - diagnostic imaging</subject><subject>Pregnancy Complications, Cardiovascular - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Uterus</subject><subject>Vital signs</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OQhOpOPTfZYSv2Aghc9h91sUrbYbE12Ef-9W7bWk6cZmOd9Bx5CrhHuEUA9JEQlNAUUFEQOVJyQKeqc01whPz3uICfkIqUNgMw1ynMyYRK05FhMyd3c9p3LyjZ2jc3qJiVnu6YNWROyXXTrUIYu-2q3LlySM19-JHd1mDPy_rh8WzzT1evTy2K-opbnvKOKV2Xl66JGJXPHueaA4LxgvC4tOpszUL70uqoVQ8FRVVxhJaCqtXToLZ-R27F3F9vP3qXObNo-huGlYQVqxQtENlA4Uja2KUXnzS422zJ-GwSzl2NGOWaQY_ZyjBgyN4fmvtq6-pj4tTEAbATScAprF_9e_9_6A81NbaQ</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Yang, Zhaohua</creator><creator>Yang, Shouguo</creator><creator>Wang, Fangshun</creator><creator>Wang, Chunsheng</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20160501</creationdate><title>Acute aortic dissection in pregnant women</title><author>Yang, Zhaohua ; Yang, Shouguo ; Wang, Fangshun ; Wang, Chunsheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-73babfd9d1756e3383010ef423dac1ec6207faf8bd7214317b371b40bd85e1fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aneurysm, Dissecting - diagnostic imaging</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Aortic Aneurysm, Thoracic - diagnostic imaging</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Aortic dissection</topic><topic>Blood</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Case Report</topic><topic>Cesarean Section</topic><topic>Coronary vessels</topic><topic>Diagnosis, Differential</topic><topic>Disease</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Fetuses</topic><topic>Heart</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Marfan syndrome</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Perinatal Care</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - diagnostic imaging</topic><topic>Pregnancy Complications, Cardiovascular - surgery</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Uterus</topic><topic>Vital signs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Zhaohua</creatorcontrib><creatorcontrib>Yang, Shouguo</creatorcontrib><creatorcontrib>Wang, Fangshun</creatorcontrib><creatorcontrib>Wang, Chunsheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Zhaohua</au><au>Yang, Shouguo</au><au>Wang, Fangshun</au><au>Wang, Chunsheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute aortic dissection in pregnant women</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>64</volume><issue>5</issue><spage>283</spage><epage>285</epage><pages>283-285</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Acute aortic dissection occurring during pregnancy represents a lethal risk to both the mother and fetus. Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33rd gestational week) with a bicuspid aortic valve and the other is a 32-year-old pregnant woman (30th gestational week) with the Marfan syndrome. In both cases, a combined emergency operation consisting of Cesarean section, total hysterectomy prior to corrective surgery for aortic dissection was successfully performed within a relatively short period of time after the onset. Both patients’ postoperative recovery was uneventful, and we achieved a favorable maternal and fetal outcome.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25085319</pmid><doi>10.1007/s11748-014-0460-4</doi><tpages>3</tpages></addata></record> |
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| subjects | Abdomen Adult Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Aortic dissection Blood Cardiac Surgery Cardiology Case Report Cesarean Section Coronary vessels Diagnosis, Differential Disease Emergency medical care Female Fetuses Heart Humans Hysterectomy Marfan syndrome Medicine Medicine & Public Health Perinatal Care Pregnancy Pregnancy Complications, Cardiovascular - diagnostic imaging Pregnancy Complications, Cardiovascular - surgery Surgery Surgical Oncology Thoracic Surgery Tomography Tomography, X-Ray Computed Uterus Vital signs |
| title | Acute aortic dissection in pregnant women |
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