Aortic dissection in pregnancy: Analysis of risk factors and outcome

Franz F. Immer; Anne G. Bansi; Alexsandra S. Immer-Bansi; Jane McDougall; Kenton J. Zehr; Hartzell V. Schaff; Thierry P. Carrel

doi:10.1016/S0003-4975(03)00169-3

Aortic dissection in pregnancy: Analysis of risk factors and outcome

Franz F. Immer, Anne G. Bansi, Alexsandra S. Immer-Bansi, Jane McDougall, Kenton J. Zehr, Hartzell V. Schaff, Thierry P. Carrel

Cardiovascular Surgery

Research output: Contribution to journal › Review article › peer-review

299 Scopus citations

Abstract

Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient's characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection.

Original language	English (US)
Pages (from-to)	309-314
Number of pages	6
Journal	Annals of Thoracic Surgery
Volume	76
Issue number	1
DOIs	https://doi.org/10.1016/S0003-4975(03)00169-3
State	Published - Jul 1 2003

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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title = "Aortic dissection in pregnancy: Analysis of risk factors and outcome",

abstract = "Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient's characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection.",

author = "Immer, {Franz F.} and Bansi, {Anne G.} and Immer-Bansi, {Alexsandra S.} and Jane McDougall and Zehr, {Kenton J.} and Schaff, {Hartzell V.} and Carrel, {Thierry P.}",

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AU - Immer, Franz F.

AU - Bansi, Anne G.

AU - Immer-Bansi, Alexsandra S.

AU - McDougall, Jane

AU - Zehr, Kenton J.

AU - Schaff, Hartzell V.

AU - Carrel, Thierry P.

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N2 - Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient's characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection.

AB - Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient's characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection.

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Aortic dissection in pregnancy: Analysis of risk factors and outcome

Abstract

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