Management of Worsening Aortic Dilation and Insufficiency in a 20-Week Pregnant Woman: A Case Report. (10th July 2011)

• Record Type: Journal Article
• Authors: Shah, Amy; Schwarzenberger, Johanna; Gui, Dorina; Hong, Richard; Chen, Angela
• Other Names: Hochner-Celnikier Drorith Academic Editor.; Nilas Lisbeth Academic Editor.; Vaisbuch Edi Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2011(2011)
• Publication Date: 2011-07-10
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2011/483178
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : Preexisting aortic disease can worsen during pregnancy as physiologic hemodynamic changes evolve. At a large academic institution, a patient with a remote history of vasculitis presented with a second trimester pregnancy with increasing aortic dilatation and aortic insufficiency. Extensive obstetric discussions encompassed maternal cardiac risks from continuing the pregnancy and fetal risks from maternal cardiac intervention. This patient desired termination of pregnancy to avoid further complications and to expedite surgical aortic repair.