Complicated type B aortic dissection in a pregnant woman with Marfan syndrome

被引:0
作者
Zagzoog, Mohammad M. [1 ,2 ]
Crawford, Sean A. [3 ]
Davaine, Jean-Michel [1 ,2 ]
机构
[1] Sorbonne Univ, Pitie Salpetriere Univ Hosp, Fac Med, Dept Vasc & Endovasc Surg, Paris, France
[2] Sorbonne Univ, Fac Med, Paris, France
[3] Univ Hlth Network, Toronto Gen Hosp, Peter Munk Cardiac Ctr, Toronto, ON, Canada
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2024年 / 10卷 / 05期
关键词
Aortic dissection; Retrograde type A aortic dissection; Pregnancy; Marfan syndrome; Thoracic endovascular aortic repair; MORTALITY; GROWTH; REPAIR; WOMEN;
D O I
10.1016/j.jvscit.2024.101561
中图分类号
R61 [外科手术学];
学科分类号
摘要
Marfan syndrome is a rare inherited connective tissue disorder that can result in significant fi cant morbidity and mortality. We report a case of a 29-year-old pregnant woman presenting with an acute type B aortic dissection. Owing to cardiopulmonary decompensation and intestinal malperfusion, she underwent an emergency cesarean section followed by left subclavian to carotid transposition and thoracic endovascular aortic repair that was complicated by a retrograde type A aortic dissection and was managed surgically. Molecular testing confirmed fi rmed the diagnosis of Marfan syndrome. This case highlights that multidisciplinary and hybrid management of challenging cases of acute aortic syndromes can result in a favorable outcome. (J Vasc Surg Cases Innov Tech 2024;10:101561.)
引用
收藏
页数:3
相关论文
共 15 条
[1]   Clinical Features and Outcomes of Pregnancy-Related Acute Aortic Dissection [J].
Braverman, Alan C. ;
Mittauer, Eric ;
Harris, Kevin M. ;
Evangelista, Arturo ;
Pyeritz, Reed E. ;
Brinster, Derek ;
Conklin, Lori ;
Suzuki, Toru ;
Fanola, Christina ;
Ouzounian, Maral ;
Chen, Edward ;
Myrmel, Truls ;
Bekeredjian, Raffi ;
Hutchison, Stuart ;
Coselli, Joseph ;
Gilon, Dan ;
O'Gara, Patrick ;
Davis, Melinda ;
Isselbacher, Eric ;
Eagle, Kim .
JAMA CARDIOLOGY, 2021, 6 (01) :58-66
[2]   A multicenter clinical trial of endovascular stent graft repair of acute catastrophes of the descending thoracic aorta [J].
Cambria, Richard P. ;
Crawford, Robert S. ;
Cho, Jae-Sung ;
Bavaria, Joseph ;
Farber, Mark ;
Lee, W. Anthony ;
Ramaiah, Venkatesh ;
Kwolek, Christopher J. .
JOURNAL OF VASCULAR SURGERY, 2009, 50 (06) :1255-1264
[3]   Retrograde Type A Aortic Dissection After Thoracic Endovascular Aortic Repair: A Systematic Review and Meta-Analysis [J].
Chen, Yanqing ;
Zhang, Simeng ;
Liu, Lei ;
Lu, Qingsheng ;
Zhang, Tianyi ;
Jing, Zaiping .
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2017, 6 (09)
[4]   The Immediate and Long-Term Impact of Pregnancy on Aortic Growth Rate and Mortality in Women With Marfan Syndrome [J].
Donnelly, Ryan T. ;
Pinto, Nelangi M. ;
Kocolas, Irene ;
Yetman, Anji T. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 60 (03) :224-229
[5]   2014 ESC Guidelines on the diagnosis and treatment of aortic diseases [J].
Erbel, Raimund ;
Aboyans, Victor ;
Boileau, Catherine ;
Bossone, Eduardo ;
Di Bartolomeo, Roberto ;
Eggebrecht, Holger ;
Evangelista, Arturo ;
Falk, Volkmar ;
Frank, Herbert ;
Gaemperli, Oliver ;
Grabenwoeger, Martin ;
Haverich, Axel ;
Iung, Bernard ;
Manolis, Athanasios John ;
Meijboom, Folkert ;
Nienaber, Christoph A. ;
Roffi, Marco ;
Rousseau, Herve ;
Sechtem, Udo ;
Sirnes, Per Anton ;
von Allmen, Regula S. ;
Vrints, Christiaan J. M. .
EUROPEAN HEART JOURNAL, 2014, 35 (41) :2873-U93
[6]   Complicated Acute Type B Dissection: Is Surgery Still the Best Option? A Report From the International Registry of Acute Aortic Dissection [J].
Fattori, Rossella ;
Tsai, Thomas T. ;
Myrmel, Truls ;
Evangelista, Arturo ;
Cooper, Jeanna V. ;
Trimarchi, Santi ;
Li, Jin ;
Lovato, Luigi ;
Kische, Stephan ;
Eagle, Kim A. ;
Isselbacher, Eric M. ;
Nienaber, Christoph A. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2008, 1 (04) :395-402
[7]   Aortic dissection during pregnancy and postpartum in patients with Marfan syndrome: a 21-year clinical experience in 30 patients [J].
Ma, Wei-Guo ;
Zhu, Jun-Ming ;
Chen, Yu ;
Qiao, Zhi-Yu ;
Ge, Yi-Peng ;
Li, Cheng-Nan ;
Zheng, Jun ;
Liu, Yong-Min ;
Sun, Li-Zhong .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2020, 58 (02) :294-301
[8]   Pregnancy and aortic root growth in the Marfan syndrome: a prospective study [J].
Meijboom, LJ ;
Vos, FE ;
Timmermans, J ;
Boers, GH ;
Zwinderman, AH ;
Mulder, BJM .
EUROPEAN HEART JOURNAL, 2005, 26 (09) :914-920
[9]   Management of complicated and uncomplicated acute type B dissection. A systematic review and meta-analysis [J].
Moulakakis, Konstantinos G. ;
Mylonas, Spyridon N. ;
Dalainas, Ilias ;
Kakisis, John ;
Kotsis, Thomas ;
Liapis, Christos D. .
ANNALS OF CARDIOTHORACIC SURGERY, 2014, 3 (03) :234-246
[10]   Pregnancy-Related Aortic Complications in Women With Marfan Syndrome [J].
Narula, Nupoor ;
Devereux, Richard B. ;
Malonga, Grace P. ;
Hriljac, Ingrid ;
Roman, Mary J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 78 (09) :870-879