title: [Aneurysm of the ascending aorta, hyperthyroidism and pregnancy. Case report].
abstract: Aortic aneurysms are a rare condition in childhood and youth, etiology, evolution, natural progression and prognosis in pregnancy unknown. Hyperthyroidism occurs when there is a synthesis and/or excessive secretion of thyroid hormones during pregnancy poses difficulty for diagnosis. The new monitoring hemodynamics in pregnancy by transthoracic bioimpedance is a feasible alternative, noninvasive and real-time hemodynamic monitoring pregnant women.
  
  
  METHODS
  Primiparity 18, is referred to present tachycardia, hyperthyroidism is diagnosed and drug treatment is initiated with antithyroid from week 14.1 echocardiogram reports bivalve aortic aneurysm in the sinus of Valsalva is performed. He was determined to continue the same under strict hemodynamic and fetal monitoring. Pregnancy concludes at the end obtained through the abdomen, at 40.4 weeks, with male product, weight 2250 g, Apgar 9/9, with growth restriction type I. The mother and baby were discharged simultaneously without complications.
  
  
  CONCLUSIONS
  The hyperdynamic state of pregnant patients in hyperthyroidism and aneurysms is complex and potentially complicable is why the hemodynamic patient monitoring is essential to detect changes in it that endanger the life of the binomial to this condition. Heart disease and hyperthyroidism, in this case, consistent with a fetal complications level is described as intrauterine growth restriction, however narrow and multidisciplinary monitoring and timely interventions binomial lead to satisfactory results in this case.
authors: Berenice
authors: B
authors: Zavala-Barrios
authors: Carla
authors: C
authors: García-Castanedo
authors: José Antonio
authors: JA
authors: Viruez-Soto
authors: Jesús Carlos
authors: JC
authors: Briones-Garduño
authors: Fausto
authors: F
authors: Coronel-Cruz
mesh_terms: D000293:Adolescent; D013956:Antithyroid Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000150:complications* / Q000473:pathology; D005260:Female; D005323:Fetal Monitoring / Q000379:methods; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D011256:Pregnancy Outcome; D012850:Sinus of Valsalva / Q000473:pathology
chemical_list: D013956:Antithyroid Agents