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Acute aortic dissection and pregnancy: Review and meta-analysis of incidence, presentation, and pathologic substrates.

Andrea De MartinoRiccardo MorgantiGiosuè FalcettaGiovanni SciotiAldo Domenico MilanoAngela PucciUberto Bortolotti
Published in: Journal of cardiac surgery (2019)
Throughout pregnancy, AAD is quite rare but fatal, especially in Marfan and Loeys-Dietz syndromes, while isolated bicuspid aortic valve is not a risk factor. Even in Marfan syndrome, pathogenesis and evolution of the disease are still unclear. Occurrence of dissection also during puerperium indicates the need for continuous counselling and aortic size monitoring in women at-risk.
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