Aortic dissection during pregnancy — obstetric perspective

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 condition...

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Bibliographic Details
Published in:Ginekologia polska 2019-01, Vol.90 (6), p.346-350
Main Authors: Poniedzialek-Czajkowska, Elzbieta, Sadowska, Agata, Mierzynski, Radzislaw, Leszczynska-Gorzelak, Bozena
Format: Article
Language:English
Subjects:
Aortic dissection
Congenital diseases
Connective tissue
Coronary vessels
Counseling
Family medical history
Genetic disorders
Heart rate
Marfan syndrome
Mortality
Obstetrics
Pregnancy
Risk factors
Trauma
Womens health
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Summary: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.
ISSN:0017-0011
2543-6767
DOI:10.5603/GP.2019.0052