Clark Abigail, Conroy Patrick D, Feng Benjamin, Fadoul Mikael, McMackin Katherine, Lombardi Joseph V
Division of Vascular Surgery, Department of Surgery, Cooper University Hospital, Camden, NJ.
Department of Surgery, Cooper Medical School of Rowan University, Camden, NJ.
J Vasc Surg Cases Innov Tech. 2025 Jun 4;11(5):101871. doi: 10.1016/j.jvscit.2025.101871. eCollection 2025 Oct.
Aortic dissection in the setting of pregnancy and peripartum period presents a rare challenge, and can be fatal, particularly in the setting of connective tissue disorders. Familial aortopathies and connective tissue disease must be considered when young patients present with complex aortic disease. Although there is a historical precedent for open surgical repair in these cases within the vascular surgery community, little is published on the efficacy of endovascular strategies. Herein, we present a case of a young woman who developed an aortic dissection associated with pregnancy requiring staged open surgical and endovascular reconstruction for her complex aortic disease.
妊娠及围产期发生的主动脉夹层是一项罕见的挑战，可能会致命，尤其是在合并结缔组织疾病的情况下。当年轻患者出现复杂的主动脉疾病时，必须考虑家族性主动脉病变和结缔组织疾病。尽管血管外科领域对于这些病例进行开放手术修复有历史先例，但关于血管内治疗策略疗效的报道却很少。在此，我们报告一例年轻女性病例，该患者在妊娠期间发生主动脉夹层，因其复杂的主动脉疾病需要分期进行开放手术和血管内重建。
