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Labor and vaginal delivery with maternal aortic aneurysm
M J Lee1, A Huang, J Gillen-Goldstein
1Department of Obstetrics and Gynecology, New York University School of Medicine, Bellevue Hospital, New York, New York 10016, USA. mjl5@nyu.edu
Background:
Maternal aortic aneurysm can be an unsettling finding for the practicing obstetrician. However, thoracic surgeons generally do not treat asymptomatic aortic aneurysms that are less than 6 cm in diameter in otherwise healthy adults.
Case:
A young nullipara was incidentally found to have a 4.5-cm thoracic aortic aneurysm during prenatal care. After extensive counseling and discussions with thoracic surgeons, anesthesiologists, and perinatologists, the patient requested a trial of labor and underwent an uncomplicated assisted vaginal delivery of a healthy female infant.
Conclusion:
A vaginal delivery occurred safely in a woman with an asymptomatic aortic aneurysm that was less than 6 cm in diameter and not associated with Marfan's syndrome.