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Dissecting Aortic Aneurysm Complicating Pregnancy.

Nootan Chandwaskar1, Neeta Natu1, Shilpa Sapre1

  • 1Department of Obstetrics and Gynecology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India.

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|February 22, 2019
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Summary
This summary is machine-generated.

Aortic dissection during pregnancy is rare, often occurring in the third trimester. This case details conservative management of Type B aortic dissection in a pregnant woman, followed by delivery via hysterotomy.

Keywords:
Dissecting aortaaneurysmpregnancy

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Area of Science:

  • Cardiovascular Medicine
  • Obstetrics and Gynecology
  • Vascular Surgery

Background:

  • Aortic dissection is a rare but life-threatening condition during pregnancy, typically presenting in the third trimester due to increased hemodynamic stress.
  • Risk factors include pre-existing connective tissue disorders, hypertension, and bicuspid aortic valve.

Observation:

  • A 38-year-old pregnant woman presented with acute aortic dissection Type B.
  • The patient was in her third trimester, a period of maximal blood volume and cardiac output.

Findings:

  • Conservative management was initiated, focusing on hemodynamic stabilization.
  • Following stabilization, an obstetric hysterotomy was performed for delivery.

Implications:

  • This case highlights the importance of early recognition and conservative management of aortic dissection in pregnancy.
  • Multidisciplinary care involving cardiology, cardiothoracic surgery, and obstetrics is crucial for optimal outcomes.
  • Further research is needed to establish definitive management guidelines for aortic dissection during pregnancy.