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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Updated: Jun 4, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Acute type A aortic dissection and pregnancy: a population-based study.

Markus Thalmann1, Gottfried H Sodeck, Hans Domanovits

  • 1Department of Cardiovascular Surgery, Lainz Hospital, Vienna, Austria.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|March 1, 2011
PubMed
Summary
This summary is machine-generated.

Pregnancy is not a risk factor for acute aortic dissection in women under 45. Early surgical intervention improves outcomes for this rare but deadly condition, even during pregnancy.

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Epidemiology

Background:

  • Acute aortic dissection is a rare but often fatal vascular emergency.
  • Pregnancy has been suggested as a potential risk factor for acute aortic dissection in women of reproductive age.

Purpose of the Study:

  • To investigate the association between pregnancy and acute type A aortic dissection.
  • To determine if the reported link between pregnancy and dissection is an artifact of selective reporting.

Main Methods:

  • Population-based epidemiologic study in Vienna, Austria (1994-2004).
  • Inclusion of 34,138 women aged 15-45 years, with 3755.195 person-years of observation.
  • Determination of incidence, management, and outcomes of acute type A dissection.

Main Results:

  • Overall incidence of acute aortic dissection was 0.4 cases per 100,000 person-years.
  • Two cases of dissection occurred in pregnant women (incidence 0.05 per 100,000 person-years).
  • Pregnancy was not found to be a significant risk factor (RR: 3.27; 95% CI: 0.82-12.95; P=0.14).

Conclusions:

  • Acute aortic dissection is rare in women under 45 but carries a high mortality rate.
  • Pregnancy does not appear to be an independent risk factor for acute aortic dissection.
  • Prompt surgical repair, including during pregnancy, leads to favorable outcomes.