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孕期合并马凡综合征的急性A型主动脉夹层

Acute Type A Dissection during Pregnancy with Marfan's Syndrome.

作者信息

Heim Christian, Müller Philipp P, Weyand Michael, Harig Frank

机构信息

Department of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2021 Jan;10(1):e18-e21. doi: 10.1055/s-0040-1722705. Epub 2021 Mar 11.

Abstract

Marfan's syndrome (MFS) is a connective tissue disorder, caused by a mutation in the gene and affecting multiple organ systems including the vascular system. During pregnancy, women with MFS have an increased risk of aortic dissection due to changes in the cardiovascular system.  We present a 39-year-old woman that suffered from an acute aortic dissection in week 33 of her third pregnancy who urgently required lifesaving surgery. Three-dimensional reconstruction of computed tomography scan was performed with unborn child in utero.  Monitoring of patients with suspected or confirmed MFS appears essential and interdisciplinary treatment and prevention strategies are required.

摘要

马凡综合征(MFS)是一种结缔组织疾病,由该基因的突变引起,会影响包括血管系统在内的多个器官系统。在怀孕期间,患有马凡综合征的女性由于心血管系统的变化,发生主动脉夹层的风险会增加。 我们介绍一位39岁的女性,她在第三次怀孕的第33周发生了急性主动脉夹层,急需进行挽救生命的手术。对子宫内未出生的胎儿进行了计算机断层扫描的三维重建。 对疑似或确诊为马凡综合征的患者进行监测似乎至关重要,并且需要跨学科的治疗和预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e40/7952195/575ea912ea6a/10-1055-s-0040-1722705-i200383crc-1.jpg

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