title: Risk of development of abdominal aortic aneurysm and dissection of thoracic aorta in a postpartum woman with Marfan's syndrome.
abstract: A 24-year-old pregnant woman with Marfan's syndrome delivered by cesarean section during the 38th week of gestation. Although aortic root dilatation did not increase during pregnancy, three months after delivery, the patient noticed a pulsatile abdominal mass. Aortic aneurysm was diagnosed and surgical replacement of the infrarenal abdominal aorta to the common iliac arteries and reconstruction of the inferior mesenteric artery were performed. Moreover, the patient subsequently developed a Stanford type B thoracic aortic dissection, even after more than four months of beta-blockade.
authors.affiliation: Department of Pathology, Nagasaki University Hospital, Nagasaki, Japan.
authors.forename: Aki
authors.initials: A
authors.lastname: Tomihara
authors.forename: Naoto
authors.initials: N
authors.lastname: Ashizawa
authors.forename: Kuniko
authors.initials: K
authors.lastname: Abe
authors.forename: Naoe
authors.initials: N
authors.lastname: Kinoshita
authors.forename: Keisuke
authors.initials: K
authors.lastname: Chihaya
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Yonekura
authors.forename: Satoki
authors.initials: S
authors.lastname: Fukae
authors.forename: Kazuto
authors.initials: K
authors.lastname: Ashizawa
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
authors.forename: Tomayoshi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Katsusuke
authors.initials: K
authors.lastname: Yano
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000784:Aortic Dissection / Q000209:etiology*; D001011:Aorta / Q000000981:diagnostic imaging; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology*; D004452:Echocardiography; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging; D012307:Risk Factors
chemical_list: D000319:Adrenergic beta-Antagonists