title: Endograft as Bridge to Open Repair for Ruptured Thoracic Aneurysm in a Pregnant Marfan Patient.
abstract: Women with Marfan syndrome are at increased risk of aortic events during pregnancy. We present the case of a ruptured descending thoracic aortic aneurysm in a woman with Marfan syndrome who was 25 weeks pregnant. Emergent intervention was performed using an endovascular repair as a bridge to allow continuation of pregnancy, decreasing fetal morbidity, and allow subsequent later definitive open aortic repair.
authors.affiliation: Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minnesota. Electronic address: demartino.randall@mayo.edu.
authors.forename: Randall R
authors.initials: RR
authors.lastname: De Martino
authors.affiliation: Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Jill
authors.initials: J
authors.lastname: Johnstone
authors.affiliation: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Baldwin
authors.affiliation: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Brost
authors.affiliation: Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
authors.forename: Heidi M
authors.initials: HM
authors.lastname: Connolly
authors.affiliation: Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Alberto
authors.initials: A
authors.lastname: Pochettino
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology / Q000601:surgery*; D015607:Stents