Acute aortic dissection and pregnancy: Review and meta-analysis of incidence, presentation, and pathologic substrates.
Andrea De MartinoRiccardo MorgantiGiosuè FalcettaGiovanni SciotiAldo Domenico MilanoAngela PucciUberto BortolottiPublished 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.
Keyphrases
- aortic dissection
- aortic valve
- pregnancy outcomes
- aortic stenosis
- risk factors
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- aortic valve replacement
- preterm birth
- case report
- polycystic ovary syndrome
- risk assessment
- pregnant women
- neoadjuvant chemotherapy
- ejection fraction
- locally advanced
- squamous cell carcinoma
- left ventricular
- atrial fibrillation
- radiation therapy
- coronary artery disease
- heart failure
- extracorporeal membrane oxygenation
- coronary artery
- intensive care unit
- cervical cancer screening
- insulin resistance
- breast cancer risk
- adipose tissue
- mechanical ventilation