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An aortopathy dilemma in pregnancy: A rare case report
BACKGROUND: The most dramatic diseases in the aorta are aortic dissection and aneurysm, which both of them are common in pregnant women with Marfan syndrome (MFS). According to recommendations in existing guidelines, pregnancy is not recommended in patients with severe dilation of the aorta and pati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635720/ https://www.ncbi.nlm.nih.gov/pubmed/36338528 http://dx.doi.org/10.22122/arya.v17i0.2110 |
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author | Saeidi, Mahmoud Movahedi, Minoo Bahrami, Parvin Shokrani-Foroushani, Reza Sheikhbahaei, Erfan |
author_facet | Saeidi, Mahmoud Movahedi, Minoo Bahrami, Parvin Shokrani-Foroushani, Reza Sheikhbahaei, Erfan |
author_sort | Saeidi, Mahmoud |
collection | PubMed |
description | BACKGROUND: The most dramatic diseases in the aorta are aortic dissection and aneurysm, which both of them are common in pregnant women with Marfan syndrome (MFS). According to recommendations in existing guidelines, pregnancy is not recommended in patients with severe dilation of the aorta and patients with MFS with aortic dilation > 45 mm should have prophylactic aortic repair before pregnancy. CASE REPORT: In this rare and unique report, we described a 34-year-old pregnant woman with marfanoid feature who had an approximate aortic root of 60 mm and severe aortic insufficiency. She denied terminating the pregnancy at her first prenatal visit and continued it until 30 weeks of gestation and the pregnancy terminated in the cardiac operating room due to multiple episodes of chest pain. No complication occurred during her close observation before surgery. The aortic repair was performed for her after the cesarean section. CONCLUSION: Pregnancy with severe aortic root dilation is high-risk for all patients; however, if it occurs, when the mother denies an abortion, inform the patient about its risk and continue the pregnancy with close observation and tight blood pressure (BP) control until the fetus becomes viable. |
format | Online Article Text |
id | pubmed-9635720 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-96357202022-11-04 An aortopathy dilemma in pregnancy: A rare case report Saeidi, Mahmoud Movahedi, Minoo Bahrami, Parvin Shokrani-Foroushani, Reza Sheikhbahaei, Erfan ARYA Atheroscler Case Report BACKGROUND: The most dramatic diseases in the aorta are aortic dissection and aneurysm, which both of them are common in pregnant women with Marfan syndrome (MFS). According to recommendations in existing guidelines, pregnancy is not recommended in patients with severe dilation of the aorta and patients with MFS with aortic dilation > 45 mm should have prophylactic aortic repair before pregnancy. CASE REPORT: In this rare and unique report, we described a 34-year-old pregnant woman with marfanoid feature who had an approximate aortic root of 60 mm and severe aortic insufficiency. She denied terminating the pregnancy at her first prenatal visit and continued it until 30 weeks of gestation and the pregnancy terminated in the cardiac operating room due to multiple episodes of chest pain. No complication occurred during her close observation before surgery. The aortic repair was performed for her after the cesarean section. CONCLUSION: Pregnancy with severe aortic root dilation is high-risk for all patients; however, if it occurs, when the mother denies an abortion, inform the patient about its risk and continue the pregnancy with close observation and tight blood pressure (BP) control until the fetus becomes viable. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2021-03 /pmc/articles/PMC9635720/ /pubmed/36338528 http://dx.doi.org/10.22122/arya.v17i0.2110 Text en © 2021 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences https://creativecommons.org/licenses/by-nc/3.0/This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Case Report Saeidi, Mahmoud Movahedi, Minoo Bahrami, Parvin Shokrani-Foroushani, Reza Sheikhbahaei, Erfan An aortopathy dilemma in pregnancy: A rare case report |
title | An aortopathy dilemma in pregnancy: A rare case report |
title_full | An aortopathy dilemma in pregnancy: A rare case report |
title_fullStr | An aortopathy dilemma in pregnancy: A rare case report |
title_full_unstemmed | An aortopathy dilemma in pregnancy: A rare case report |
title_short | An aortopathy dilemma in pregnancy: A rare case report |
title_sort | aortopathy dilemma in pregnancy: a rare case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635720/ https://www.ncbi.nlm.nih.gov/pubmed/36338528 http://dx.doi.org/10.22122/arya.v17i0.2110 |
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