[Dissection of renal artery aneurysm in a pregnant woman with Elhers-Danlos disease type IV].
Recall the clinical signs and personal and family medical history suggestive of Elhers-Danlos syndrome, mainly type IV. Review of literature and presentation of a clinical case observed in a female patient with Elhers-Danlos disease type IV who developed dissection of a renal artery during pregnancy. The prevalence of the syndrome is increasing, reaching, according to the latest publications 1/5,000 births. It is important to determine the type of syndrome to assess prognosis. In the classic type and in the hyper mobile type, pregnancy is generally well tolerated although certain complications linked to connective tissue dysfunction such as pelvic instability, premature delivery, bleeding postpartum and perineal lacerations, may develop. Ehlers-Danlos syndrome can be associated with serious and even fatal complications for these patients: vascular dissection or uterine rupture. It is important for obstetricians to be aware of the clinical signs and symptoms suggestive of Elhers-Danlos syndrome in a pregnant patient and to know the diagnostic possibilities and potential risks. If a typeIV syndrome is diagnosed, it is very important to inform the patient about the potential implications for pregnancy and maternal health, as well as the risk of transmission to the child and the possibility of antenatal diagnosis.
Tassart
S
S
Département d'Obstétrique, Hôpital Universitaire Saint-Luc, Université Catholique de Louvain (UCL), 10, avenue Hippocrate, 1200 Bruxelles, Belgique.
Bernard
P
P
Debieve
F
F
Devylder
M
M
Hubinont
C
C
D000328:Adult; D000784:Aortic Dissection / Q000209:etiology*; D004535:Ehlers-Danlos Syndrome / Q000150:complications* / Q000453:epidemiology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000209:etiology; D011256:Pregnancy Outcome; D011379:Prognosis; D012077:Renal Artery; D018570:Risk Assessment; D013577:Syndrome