一名患有慢性降主动脉夹层的女性怀孕。
Pregnancy in a woman with a chronic descending thoracic aortic dissection.
作者信息
Nair Govind Krishna Kumar, Bhagra Catriona, Sermer Mathew, Silversides Candice K, Pfaller Birgit
机构信息
Division of Cardiology, University of Toronto, Pregnancy and Heart Disease Program, Sinai Health System, Toronto, Canada.
Department of Cardiology, Cambridge University and Royal Papworth NHS Foundation Trusts, Cambridge, UK.
出版信息
Obstet Med. 2021 Jun;14(2):102-104. doi: 10.1177/1753495X19900410. Epub 2020 Feb 4.
Pregnancy increases aortic wall stress and, for a woman with a chronic dissection, this can lead to extension of the dissection, aortic rupture, and death. We report a pregnancy in a woman with a history of a chronic type B aortic dissection. As a child, she had repeat balloon dilation of aortic coarctation, and one of the procedures was complicated by an iatrogenic dissection at the dilation site. At the age of 27 years, she had a planned pregnancy.
怀孕会增加主动脉壁压力，对于患有慢性主动脉夹层的女性来说，这可能导致夹层扩展、主动脉破裂和死亡。我们报告了一名有慢性B型主动脉夹层病史的女性怀孕的病例。她小时候曾多次接受主动脉缩窄球囊扩张术，其中一次手术在扩张部位并发了医源性夹层。27岁时，她计划怀孕。
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