Aortic dissection and pregnancy

被引:0
作者
Roos-Hesselink, J. W. [1 ]
Ruys, P. T. E. [1 ]
Cuyper, J. A. A. E. [1 ]
机构
[1] Erasmus MC, Rotterdam, Netherlands
来源
FIRST INTERNATIONAL CONGRESS ON CARDIAC PROBLEMS IN PREGNANCY (CPP) | 2010年
关键词
CONGENITAL HEART-DISEASE; MARFAN-SYNDROME; VALVE; DILATATION; MANAGEMENT; ANEURYSMS;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pregnancy is a high-risk period for women with aorta pathology, with dissection occurring most often in the last trimester of pregnancy or the early postpartum period. A patient of childbearing age with a family history of Marfan syndrome or other familial aorta pathology, should have a complete evaluation including imaging of the entire aorta before pregnancy. Prepregnancy repair of the dilated aorta should be performed patients with a diameter > 45 mm, especially in those with progressive aortic dilatation or a family history of aortic dissection.
引用
收藏
页码:53 / 58
页数:6
相关论文
共 19 条
[1]  
[Anonymous], 2003, EUR HEART J, V24, P761
[2]   EXTRACORPOREAL-CIRCULATION IN THE ISOLATED INSITU LAMB PLACENTA - HEMODYNAMIC CHARACTERISTICS [J].
ASSAD, RS ;
LEE, FY ;
BERGNER, K ;
HANLEY, FL .
JOURNAL OF APPLIED PHYSIOLOGY, 1992, 72 (06) :2176-2180
[3]   Mechanisms underlying aortic dilatation in congenital aortic valve malformation [J].
Bonderman, D ;
Gharehbaghi-Schnell, E ;
Wollenek, G ;
Maurer, G ;
Baumgartner, H ;
Lang, IM .
CIRCULATION, 1999, 99 (16) :2138-2143
[4]   Discussion: Session 4 - Descending/thoracoabdominal aorta [J].
Coselli, JS ;
Jacobs, M ;
Dion, R ;
Karck, M ;
Done, C ;
Elefteriades, JA ;
Kouchoukos, NT ;
Gill, IS .
ANNALS OF THORACIC SURGERY, 2002, 74 (05) :S1892-S1898
[5]   Natural history of thoracic aortic aneurysms: Indications for surgery, and surgical versus nonsurgical risks [J].
Elefteriades, JA .
ANNALS OF THORACIC SURGERY, 2002, 74 (05) :S1877-S1880
[6]   Vascular matrix remodeling in patients with bicuspid aortic valve malformations: Implications for aortic dilatation [J].
Fedak, PWM ;
de Sa, MP ;
Verma, S ;
Nili, N ;
Kazemian, P ;
Butany, J ;
Strauss, BH ;
Weisel, RD ;
David, TE .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2003, 126 (03) :797-806
[7]   Aortic root replacement in 271 Marfan patients: A 24-year experience [J].
Gott, VL ;
Cameron, DE ;
Alejo, DE ;
Greene, PS ;
Shake, JG ;
Caparrelli, DJ ;
Dietz, HC .
ANNALS OF THORACIC SURGERY, 2002, 73 (02) :438-443
[8]   Losartan, an AT1 antagonist, prevents aortic aneurysm in a mouse model of Marfan syndrome [J].
Habashi, JP ;
Judge, DP ;
Holm, TM ;
Cohn, RD ;
Loeys, BL ;
Cooper, TK ;
Myers, L ;
Klein, EC ;
Liu, GS ;
Calvi, C ;
Podowski, M ;
Neptune, ER ;
Halushka, MK ;
Bedja, D ;
Gabrielson, K ;
Rifkin, DB ;
Carta, L ;
Ramirez, F ;
Huso, DL ;
Dietz, HC .
SCIENCE, 2006, 312 (5770) :117-121
[9]   Thoracic and abdominal aortic aneurysms [J].
Isselbacher, EM .
CIRCULATION, 2005, 111 (06) :816-828
[10]   Outcome of pregnancy in women with Marfan's syndrome [J].
Lipscomb, KJ ;
Smith, JC ;
Clarke, B ;
Donnai, P ;
Harris, R .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1997, 104 (02) :201-206