title: Successful management of aortic dissection in a patient with Marfan syndrome during pregnancy.
abstract: The antenatal diagnosis of aortic dissection carries a grave prognosis. Although cases of pregnant women with Marfan syndrome have been encountered that resulted either in sudden death or emergency surgery at diagnosis, cesarean section delivery for patients who survive is associated with the risk of anesthesia and manipulation of the abdomen. Such complications can be avoided if the aortic dissection can be treated conservatively. We report the successful treatment of an aortic dissection with pharmacologic therapy and the birth of a healthy infant.
authors.affiliation: Department of Obstetrics and Gynecology, Department of Cardiovascular Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
authors.forename: Chuan-Yaw
authors.initials: CY
authors.lastname: Chang
authors.forename: Jean-Ming
authors.initials: JM
authors.lastname: Yang
authors.forename: Chon-Wa
authors.initials: CW
authors.lastname: Lam
authors.forename: Pi-Hua
authors.initials: PH
authors.lastname: Chen
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D001794:Blood Pressure / Q000187:drug effects; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D017023:Coronary Angiography; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008382:Marfan Syndrome / Q000150:complications*; D009529:Nicardipine / Q000627:therapeutic use*; D005996:Nitroglycerin / Q000627:therapeutic use; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D014057:Tomography, X-Ray Computed; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D002121:Calcium Channel Blockers; D014665:Vasodilator Agents; D009529:Nicardipine; D005996:Nitroglycerin