Successful management of aortic dissection in a patient with Marfan syndrome during pregnancy

Chuan Yaw Chang, Jean Ming Yang, Chon Wa Lam, Pi Hua Chen

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The antenatal diagnosis of aortic dissection carries a grave prognosis. Although cases of pregnant women with Marfan syndrome have been encountered that resulted either in sudden death or emergency surgery at diagnosis, cesarean section delivery for patients who survive is associated with the risk of anesthesia and manipulation of the abdomen. Such complications can be avoided if the aortic dissection can be treated conservatively. We report the successful treatment of an aortic dissection with pharmacologic therapy and the birth of a healthy infant.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume208
Issue number2
DOIs
Publication statusPublished - Feb 2013

Fingerprint

Marfan Syndrome
Dissection
Pregnancy
Sudden Death
Prenatal Diagnosis
Cesarean Section
Abdomen
Pregnant Women
Emergencies
Anesthesia
Parturition
Therapeutics

Keywords

  • aortic dissection
  • hypertension
  • Marfan syndrome
  • pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Successful management of aortic dissection in a patient with Marfan syndrome during pregnancy. / Chang, Chuan Yaw; Yang, Jean Ming; Lam, Chon Wa; Chen, Pi Hua.

In: American Journal of Obstetrics and Gynecology, Vol. 208, No. 2, 02.2013.

Research output: Contribution to journalArticle

@article{ef60a4c124c247c3a87541dc6af0533a,
title = "Successful management of aortic dissection in a patient with Marfan syndrome during pregnancy",
abstract = "The antenatal diagnosis of aortic dissection carries a grave prognosis. Although cases of pregnant women with Marfan syndrome have been encountered that resulted either in sudden death or emergency surgery at diagnosis, cesarean section delivery for patients who survive is associated with the risk of anesthesia and manipulation of the abdomen. Such complications can be avoided if the aortic dissection can be treated conservatively. We report the successful treatment of an aortic dissection with pharmacologic therapy and the birth of a healthy infant.",
keywords = "aortic dissection, hypertension, Marfan syndrome, pregnancy",
author = "Chang, {Chuan Yaw} and Yang, {Jean Ming} and Lam, {Chon Wa} and Chen, {Pi Hua}",
year = "2013",
month = "2",
doi = "10.1016/j.ajog.2012.11.034",
language = "English",
volume = "208",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Successful management of aortic dissection in a patient with Marfan syndrome during pregnancy

AU - Chang, Chuan Yaw

AU - Yang, Jean Ming

AU - Lam, Chon Wa

AU - Chen, Pi Hua

PY - 2013/2

Y1 - 2013/2

N2 - The antenatal diagnosis of aortic dissection carries a grave prognosis. Although cases of pregnant women with Marfan syndrome have been encountered that resulted either in sudden death or emergency surgery at diagnosis, cesarean section delivery for patients who survive is associated with the risk of anesthesia and manipulation of the abdomen. Such complications can be avoided if the aortic dissection can be treated conservatively. We report the successful treatment of an aortic dissection with pharmacologic therapy and the birth of a healthy infant.

AB - The antenatal diagnosis of aortic dissection carries a grave prognosis. Although cases of pregnant women with Marfan syndrome have been encountered that resulted either in sudden death or emergency surgery at diagnosis, cesarean section delivery for patients who survive is associated with the risk of anesthesia and manipulation of the abdomen. Such complications can be avoided if the aortic dissection can be treated conservatively. We report the successful treatment of an aortic dissection with pharmacologic therapy and the birth of a healthy infant.

KW - aortic dissection

KW - hypertension

KW - Marfan syndrome

KW - pregnancy

UR - http://www.scopus.com/inward/record.url?scp=84872857663&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84872857663&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2012.11.034

DO - 10.1016/j.ajog.2012.11.034

M3 - Article

C2 - 23200711

AN - SCOPUS:84872857663

VL - 208

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 2

ER -