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[Multidisciplinary management of aortic dissection complicating pregnancy]
R Haberstich1, P Calmelet, A Charpentier
1Service de Gynécologie-Obstétrique, Hôpital Civil, 1, place de l'Hôpital, BP 426, 67091 Strasbourg Cedex.
Summary
Pregnancy can trigger aortic dissection in women with underlying risk factors like aortic regurgitation. Prompt multidisciplinary care ensured a positive outcome for both mother and child in this case.
Area of Science:
- Cardiovascular Medicine
- Obstetrics and Gynecology
- Medical Case Reports
Background:
- Aortic dissection in women under 40 is often linked to pregnancy and pre-existing risk factors.
- Pregnancy can act as a trigger for aortic dissection in predisposed individuals, such as those with connective tissue diseases.
Observation:
- A case of ascending aortic dissection is presented in a young primigravida at 35 weeks gestation.
- The patient had a history of aortic regurgitation, identified as the primary risk factor.
Findings:
- Multidisciplinary management, including timely fetal extraction and aortic repair, led to a favorable outcome.
- Early diagnosis and intervention are crucial for managing pregnancy-related aortic dissection.
Implications:
- Obstetricians must be aware of pregnancy as a potential trigger for aortic dissection in at-risk women.
- Preconception cardiovascular evaluation and vigilant pregnancy surveillance are recommended to prevent emergency surgical interventions.
- This case highlights the importance of a coordinated approach for managing complex cardiovascular emergencies during pregnancy.
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