Aortic dissection in pregnancy: analysis of risk factors and outcome
Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we lo...
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| Veröffentlicht in: | The Annals of Thoracic Surgery 2003-07, Vol.76 (1), p.309-314 |
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| container_title | The Annals of Thoracic Surgery |
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| creator | Immer, Franz F Bansi, Anne G Immer-Bansi, Alexsandra S McDougall, Jane Zehr, Kenton J Schaff, Hartzell V Carrel, Thierry P |
| description | Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient’s characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection. |
| doi_str_mv | 10.1016/S0003-4975(03)00169-3 |
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Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient’s characteristics in patients with thoracic aortic dissection during pregnancy. 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Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient’s characteristics in patients with thoracic aortic dissection during pregnancy. 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Bansi, Anne G ; Immer-Bansi, Alexsandra S ; McDougall, Jane ; Zehr, Kenton J ; Schaff, Hartzell V ; Carrel, Thierry P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-a27c9b2ad015059ab6916bd5013f979d0f873b0a17f5a5af9285981f42e88c453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - epidemiology</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Aortic Aneurysm, Thoracic - diagnosis</topic><topic>Aortic Aneurysm, Thoracic - epidemiology</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Aortic Arch Syndromes - diagnosis</topic><topic>Aortic Arch Syndromes - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Marfan Syndrome - diagnosis</topic><topic>Marfan Syndrome - epidemiology</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - diagnosis</topic><topic>Pregnancy Complications, Cardiovascular - epidemiology</topic><topic>Pregnancy Complications, Cardiovascular - surgery</topic><topic>Pregnancy Outcome</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Survival Rate</topic><topic>Thoracotomy - methods</topic><topic>Treatment Outcome</topic><topic>Vascular Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Immer, Franz F</creatorcontrib><creatorcontrib>Bansi, Anne G</creatorcontrib><creatorcontrib>Immer-Bansi, Alexsandra S</creatorcontrib><creatorcontrib>McDougall, Jane</creatorcontrib><creatorcontrib>Zehr, Kenton J</creatorcontrib><creatorcontrib>Schaff, Hartzell V</creatorcontrib><creatorcontrib>Carrel, Thierry P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of Thoracic Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Immer, Franz F</au><au>Bansi, Anne G</au><au>Immer-Bansi, Alexsandra S</au><au>McDougall, Jane</au><au>Zehr, Kenton J</au><au>Schaff, Hartzell V</au><au>Carrel, Thierry P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic dissection in pregnancy: analysis of risk factors and outcome</atitle><jtitle>The Annals of Thoracic Surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>76</volume><issue>1</issue><spage>309</spage><epage>314</epage><pages>309-314</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Aortic dissection during pregnancy is a life-threatening event. 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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - epidemiology Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - epidemiology Aortic Aneurysm, Thoracic - surgery Aortic Arch Syndromes - diagnosis Aortic Arch Syndromes - epidemiology Biological and medical sciences Female Humans Marfan Syndrome - diagnosis Marfan Syndrome - epidemiology Medical sciences Pregnancy Pregnancy Complications, Cardiovascular - diagnosis Pregnancy Complications, Cardiovascular - epidemiology Pregnancy Complications, Cardiovascular - surgery Pregnancy Outcome Prevalence Prognosis Risk Assessment Risk Factors Survival Rate Thoracotomy - methods Treatment Outcome Vascular Surgical Procedures - methods |
| title | Aortic dissection in pregnancy: analysis of risk factors and outcome |
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