Department of Obstetrics and Gynaecology, Brooklyn Hospital Centre, New York, New York, USA.
Arch Gynecol Obstet. 2010 Jul;282(1):103-6. doi: 10.1007/s00404-009-1315-6. Epub 2009 Dec 18.
We describe a patient with a known diagnosis of Takayasu's arteritis who presented late in the third trimester. She was delivered by caesarean section and her postpartum course was complicated by aortic dissection.
This report is the first to describe peripartum aortic dissection in a patient with known Takayasu's arteritis.
Takayasu's arteritis should be regarded as a risk factor for aortic dissection. It is important to treat systemic hypertension in Takayasu's arteritis patients and suspect the diagnosis of aortic dissection in any pregnant patient complaining of chest pain as dissection is a leading cause of maternal mortality in the developed world.
我们描述了一位已知患有 Takayasu 动脉炎的患者，她在妊娠晚期出现。她通过剖宫产分娩，产后出现主动脉夹层。
本报告首次描述了已知 Takayasu 动脉炎患者的围产期主动脉夹层。
Takayasu 动脉炎应被视为主动脉夹层的危险因素。治疗 Takayasu 动脉炎患者的系统性高血压很重要，任何胸痛的孕妇都应怀疑主动脉夹层的诊断，因为在发达国家，夹层是孕产妇死亡的主要原因。
