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Updated: Jan 16, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Pregnant Patient With Infrarenal Abdominal Aortic Aneurysm Successfully Treated With EVAR
Tomomi Ueda1, Hiroki Yagi2, Nana Akiyama3
1Department of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyō, Japan.
Background:
Pregnancy management in patients with a history of untreated aortic aneurysm or dissection is not established.
Clinical Condition:
A patient with a chronic infrarenal abdominal aortic aneurysm and dissection was referred to our hospital at 13 weeks' gestation.
Key Questions:
What are the treatment options for infrarenal abdominal aortic aneurysm with dissection in a pregnant patient? What tests are needed for treatment strategy? What are the safety considerations when performing endovascular aneurysm repair (EVAR) during pregnancy?
Outcome:
Genetic testing for established hereditary aortopathy genes was negative. After carvedilol treatment, EVAR was performed under ultrasound guidance with minimal radiation exposure at 19 weeks' gestation, allowing for adequate fetal growth. She had an uncomplicated vaginal delivery under epidural anesthesia at 39 weeks' gestation.
Take-Home Messages:
EVAR could be an effective treatment option during pregnancy if radiation exposure is properly minimized. Multidisciplinary collaboration, including early evaluation for connective tissue diseases, is essential to evaluate treatment strategy.
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