Sun Ping, Li Zhaoqi, Guo Wei, Moreira Paulo
Department of Obstetrics and Gynecology, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, China.
Key Laboratory of Laparoscopic Technology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
SAGE Open Med Case Rep. 2023 Sep 21;11:2050313X231173789. doi: 10.1177/2050313X231173789. eCollection 2023.
Pregnant women are more likely to face cardiovascular disease than non-pregnant women. However, abdominal aortic aneurysm is an extremely rare complication of pregnancy. Abdominal aortic aneurysms in pregnancy are difficult to identify in the early stage and are often diagnosed only when the symptoms have manifested. We report the case of a multiparous 35-year-old patient with a history of abnormal ascending aorta and ruled-out Marfan syndrome by genetic testing. After a multidisciplinary medical team evaluation, she delivered a live baby by cesarean section at 37 weeks of gestation, and the abdominal aortic aneurysm was repaired simultaneously. This case offers evidence-based recommendations for obstetricians to carry out preventive imaging examination for pregnant women with similar risk factors and provide successful experience in prenatal examination for similar diseases.
与未怀孕的女性相比，孕妇更易患心血管疾病。然而，腹主动脉瘤是一种极其罕见的妊娠并发症。妊娠期腹主动脉瘤在早期很难识别，通常只有在症状出现时才会被诊断出来。我们报告了一例35岁经产妇的病例，该患者有升主动脉异常病史，基因检测排除了马凡综合征。经过多学科医疗团队评估，她在妊娠37周时通过剖宫产分娩出一名活婴，同时对腹主动脉瘤进行了修复。该病例为产科医生对具有类似危险因素的孕妇进行预防性影像学检查提供了循证建议，并为类似疾病的产前检查提供了成功经验。
