Document Detail

Complicated postpartum type B aortic dissection and endovascular repair.
MedLine Citation:
PMID:  22270446     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Fifty percent of aortic dissections in women younger than 40 years occur in association with pregnancy. Of these, half of type B dissections occur in the postpartum period.
CASE: A 30-year-old woman was status post spontaneous vaginal delivery at 30 weeks of gestation for fetal death, complicated by an eclamptic seizure. On postpartum day 4, she suffered an acute, complicated type B aortic dissection treated with endovascular stent graft placement.
CONCLUSION: Endovascular repair may be an attractive option for the treatment of complicated type B aortic dissections in pregnancy and the peripartum period, with reduced maternal and fetal mortality. This may allow the fetus to remain in situ and avoid the risks of surgery and possible cardiopulmonary bypass, with little radiation risk to the fetus.
Laura H Rosenberger; Joshua D Adams; John A Kern; Margaret C Tracci; J Fritz Angle; Kenneth J Cherry
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  119     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-24     Completed Date:  2012-03-25     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  480-3     Citation Subset:  AIM; IM    
Department of Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA.
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MeSH Terms
Aneurysm, Dissecting / radiography,  surgery*
Aortic Rupture / radiography,  surgery*
Endovascular Procedures*
Puerperal Disorders / radiography,  surgery*
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