Risk of development of abdominal aortic aneurysm and dissection of thoracic aorta in a postpartum woman with Marfan's syndrome.
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.
Tomihara
Aki
A
Department of Pathology, Nagasaki University Hospital, Nagasaki, Japan.
Ashizawa
Naoto
N
Abe
Kuniko
K
Kinoshita
Naoe
N
Chihaya
Keisuke
K
Yonekura
Tsuyoshi
T
Fukae
Satoki
S
Ashizawa
Kazuto
K
Eishi
Kiyoyuki
K
Hayashi
Tomayoshi
T
Yano
Katsusuke
K
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
D000319:Adrenergic beta-Antagonists