Department of Cardiothoracic Surgery, First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province, China.
Taiwan J Obstet Gynecol. 2013 Sep;52(3):318-22. doi: 10.1016/j.tjog.2013.06.003.
Postpartum aortic dissection is a rare but lethal event. Until now, only a limited number of cases have been reported, and a comprehensive literature review from 1988 to 2012 yielded 27 cases. Postpartum aortic dissection occurred between Day 1 and Day 42 after delivery, either vaginally or by cesarean section. Pregnancy alone without underlying contributing risk factors and Marfan syndrome were the two main risk factors for postpartum aortic dissection, accounting for 44.4% and 40.7% of cases, respectively. Late presentation and delayed diagnosis may lead to sudden death. Improving prenatal and peripartum care is, therefore, crucial in preventing the development of aortic dissection. Prompt diagnosis and timely treatment of postpartum aortic dissection may prevent patient death.
产后主动脉夹层是一种罕见但致命的疾病。到目前为止，仅报道了有限数量的病例，对 1988 年至 2012 年的文献进行全面回顾，发现了 27 例病例。产后主动脉夹层发生在分娩后第 1 天至第 42 天，经阴道分娩或剖宫产。妊娠本身无潜在的致病危险因素和马凡综合征是产后主动脉夹层的两个主要危险因素，分别占病例的 44.4%和 40.7%。晚期表现和延迟诊断可能导致猝死。因此，改善产前和围产期护理对于预防主动脉夹层的发生至关重要。及时诊断和治疗产后主动脉夹层可预防患者死亡。
