Document Detail

Uncomplicated vaginal delivery 6 years after stent graft repair of an acute traumatic aortic transection.
MedLine Citation:
PMID:  22108919     Owner:  NLM     Status:  MEDLINE    
Acute traumatic transection of the aorta (ATAT) is a devastating event. Transluminal endovascular aortic repair (TEVAR) has meanwhile become an excellent alternative for such lesions. A 27-year old woman sustained a multiple trauma in a car accident including ATAT which was treated by aortic stent graft placement. Six years after the endovascular repair, our patient had only noticed, just shortly after an annual computed tomography (CT) check-up, that she was pregnant and in the 9th week of gestation. The CT was considered as unproblematic for the foetus since direct radiation of the uterus had been avoided. Our patient clearly preferred a vaginal delivery over a caesarean section. The pregnancy was uneventful with uncomplicated vaginal delivery at term. This case shows that vaginal delivery is possible if the stent graft is in regular position without signs of endoleaks and the rest of the aorta is free from dissection or aneurysm formation. It indicates that TEVAR is a sound and durable treatment modality in ATATs and that aortic stent grafts can resist increased intravascular volume and elevated aortic pressure levels as encountered in pregnancy and during vaginal delivery. This particular case also shows that it is possible to respect a patient's right of self-determination.
Bernhard Schlechta; Dominik Wiedemann; Wolfgang Eppel; Alfred Kocher
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-11-15
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-10     Completed Date:  2012-05-22     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  120-1     Citation Subset:  IM    
Division of Obstetrics and Fetomaternal Medicine, Medical University of Vienna, Vienna, Austria.
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MeSH Terms
Acute Disease
Aneurysm, Dissecting / etiology,  radiography,  surgery*
Aorta, Thoracic / injuries*,  radiography,  surgery
Aortic Aneurysm, Thoracic / etiology,  radiography,  surgery*
Blood Vessel Prosthesis*
Delivery, Obstetric*
Follow-Up Studies
Infant, Newborn
Pregnancy Complications, Cardiovascular / radiography,  surgery*
Thoracic Injuries / complications,  diagnosis
Time Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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