Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination
Abstract Background Aortic dissection occurs rarely during pregnancy but carries a significantly high vital risk for both the mother and the fetus. Early diagnosis and treatment are critical for a successful outcome. Case presentation A 32-year-old pregnant woman at 31 weeks of gestation began exper...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03357-2 |
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| author | Cristina M. Șulea Anna B. Kiss Bence Ágg Kálmán Benke Elektra Bartha Bálint Szilveszter Roland Stengl Máté Csonka Zoltán Szabolcs Miklós Pólos |
| author_facet | Cristina M. Șulea Anna B. Kiss Bence Ágg Kálmán Benke Elektra Bartha Bálint Szilveszter Roland Stengl Máté Csonka Zoltán Szabolcs Miklós Pólos |
| author_sort | Cristina M. Șulea |
| collection | DOAJ |
| description | Abstract Background Aortic dissection occurs rarely during pregnancy but carries a significantly high vital risk for both the mother and the fetus. Early diagnosis and treatment are critical for a successful outcome. Case presentation A 32-year-old pregnant woman at 31 weeks of gestation began experiencing shortness of breath, chest pain, and palpitations, which were attributed to an anxiety disorder she had been previously diagnosed with. The symptoms continued to worsen following the delivery when a chest computed tomography investigation revealed signs of chronic type A aortic dissection and an 80 mm post-dissection aneurysm of the ascending aorta. Aortic repair via composite aortic root replacement surgery (Bentall procedure) and partial aortic arch replacement was performed. The patient’s postoperative evolution was notable for a series of complications. Conclusions Our report highlights the importance of thorough maternal examination during pregnancy. The high mortality rates associated with aortic dissection occurring in pregnant women and the possibility of missed intervention due to atypical clinical presentation warrant the need for standardized international protocols aimed at the prevention and timely diagnosis of prenatal aortic disease. |
| format | Article |
| id | doaj-art-0d981eec0c3f4c5eabcefef02c8ef3e7 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-0d981eec0c3f4c5eabcefef02c8ef3e72025-02-02T12:42:03ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011810.1186/s13019-025-03357-2Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examinationCristina M. Șulea0Anna B. Kiss1Bence Ágg2Kálmán Benke3Elektra Bartha4Bálint Szilveszter5Roland Stengl6Máté Csonka7Zoltán Szabolcs8Miklós Pólos9Semmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreSemmelweis University Heart and Vascular CentreAbstract Background Aortic dissection occurs rarely during pregnancy but carries a significantly high vital risk for both the mother and the fetus. Early diagnosis and treatment are critical for a successful outcome. Case presentation A 32-year-old pregnant woman at 31 weeks of gestation began experiencing shortness of breath, chest pain, and palpitations, which were attributed to an anxiety disorder she had been previously diagnosed with. The symptoms continued to worsen following the delivery when a chest computed tomography investigation revealed signs of chronic type A aortic dissection and an 80 mm post-dissection aneurysm of the ascending aorta. Aortic repair via composite aortic root replacement surgery (Bentall procedure) and partial aortic arch replacement was performed. The patient’s postoperative evolution was notable for a series of complications. Conclusions Our report highlights the importance of thorough maternal examination during pregnancy. The high mortality rates associated with aortic dissection occurring in pregnant women and the possibility of missed intervention due to atypical clinical presentation warrant the need for standardized international protocols aimed at the prevention and timely diagnosis of prenatal aortic disease.https://doi.org/10.1186/s13019-025-03357-2Aortic dissectionPregnancyDisease prevention |
| spellingShingle | Cristina M. Șulea Anna B. Kiss Bence Ágg Kálmán Benke Elektra Bartha Bálint Szilveszter Roland Stengl Máté Csonka Zoltán Szabolcs Miklós Pólos Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination Journal of Cardiothoracic Surgery Aortic dissection Pregnancy Disease prevention |
| title | Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination |
| title_full | Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination |
| title_fullStr | Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination |
| title_full_unstemmed | Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination |
| title_short | Pregnancy-related chronic type A aortic dissection highlights the importance of thorough prenatal maternal examination |
| title_sort | pregnancy related chronic type a aortic dissection highlights the importance of thorough prenatal maternal examination |
| topic | Aortic dissection Pregnancy Disease prevention |
| url | https://doi.org/10.1186/s13019-025-03357-2 |
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