Anest. intenziv. Med. 2014;25(5):348-354
Management of anaesthesia in a parturient with acute aorticdissectionAnaesthesiology - Case Reports
- ARO a RES KCH, Nemocnice České Budějovice, a. s.
Acute aortic dissection is a life-threatening condition with high mortality rate. One of the many risk factors of this disease is the physiological pregnancy. It is necessary to make early diagnosis and start adequate treatment according to the needs of both the mother and the phoetus. We present a case of a pregnant woman at 33 weeks of gestation with type A dissection, and the management of general anaesthesia. Following a Caesarian Section, the ascending aorta was repaired.
Keywords: aorta; aortic dissection; anaesthesia; pregnancy
Received: March 6, 2014; Accepted: July 4, 2014; Published: October 1, 2014 Show citation
References
- Pitt, M. P., Bonser, R. S. The natural history of thoracic aortic aneurysm disease: an overview. Journal of Cardiac Surgery, 1997, 12, p. 270-278.
- Zeebregts, C. J., Schepens, M. A., Hameeteman, T. M., Morshuis, W. J., Rivière, A. B. Acute Aortic Dissection Complicating Pregnancy. The Annals of Thoracic Surgery, 1997, 64, p. 1345-1348.
Go to original source...
Go to PubMed...
- Vejvoda, J., Alan, D., Ošťádal, P. Disekce aorty. Intervenční a akutní kardiologie, 2005, 4, p. 159-165.
- Manallo-Estrekka, P., Barker, A. E. Histopathologic findings in human aortic media assosiated with pregnancy. Archives of Pathology, 1967, 83, p. 336-341.
Go to PubMed...
- Wilson, S. K., Hutchins, G. M. Aortic dissection aneu-rysms: causative factors in 204 subjects. Archives of Pathology & Laboratory Medicine, 1982, 106, p. 175-180.
Go to PubMed...
- Thalmann, M., Sodeck, G. H., Domanovits, H., Grassberger, M., Loewe, C. H., Grimm, M., Czerny, M. Acute type A aortic dissection and pregnancy: A population-based study. European Journal of Cardio-thoracic Surgery, 2011, 39, p. 159-163.
Go to original source...
Go to PubMed...
- ÚZIS ČR: Rodička a novorozenec 2012 [online]. Praha. Ústav zdravotnických informací a statistiky ČR, 2013 [cit. 2013-12-18]. Dostupné z WWW: http://www.uzis.cz/system/files/rodnov2012.pdf. ISBN 978-80-7472-087-1.
- Thalmann, M., Sodeck, G. H., Domanovits, H. et al. Acute type A aortic dissection and pregnancy: A population-based study. European Journal of Cardiothoracic surgery, 2011, 39, p. 159-163.
Go to original source...
Go to PubMed...
- Pineault, J., Ouimet, D., Pichette, V., Vallee, M. A case of an aortic dissection in a young adult: A refresher of the literature of this "great masquerader". International Journal of General Medicine, 2011, 4, p. 889-893.
Go to original source...
Go to PubMed...
- Vigil-De Gracia, P., Lasso, M., Ruiz, E., Vega-Malek, J. C., de Mena, F. T., López, J. C. Severe hypertension in pregnancy: hydralazin or labetalol: A randomized clinical trial. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2006, 128, p. 157-162.
Go to original source...
Go to PubMed...
- Morse, B. C., Boland, B. N., Morse, J. N., Jones, Y. R., Simpson, J. P., Appleby, D. A., Davis, B. R., Taylor, S. M. DeBakey Type II Aortic Dissection: A Rare Catastrophic Complication of Pregnancy. The American Surgeon, 2014, 80, 3, p. 79-81.
Go to original source...
- Yuan, S. M. Aortic dissection during pregnancy: a difficult clinical scenario. Clinical Cardiology, 2013, 36, 10, p. 576-584.
Go to original source...
Go to PubMed...
- Shihata, M., Pretorius, V., MacArthur, R. Cardiac general repair of an acute type A aortic dissection combined with an emergency cesarean section in a pregnant woman. Interactive CardioVascular and Thoracic Surgery, 2008, 7, p. 938-940.
Go to original source...
Go to PubMed...
- Sepehripour, A. H., Lo, T. T., Shipolini, A. R., McCormack, D. J. Can pregnant women be safely placed on cardiopulmonary bypass? Interactive CardioVascular and Thoracic Surgery, 2012, 15, p. 1063-1071.
Go to original source...
Go to PubMed...
- Regitz-Zagrosek, V., Blomstrom, L. C., Borghi, C. et al. ESC guidelines on the management of cardiovascular diseases during pregnancy of the European Society of Cardiology. European Heart Journal, 2011, 32, p. 3147-3197.
- Zitnik, R. S., Brandenburg, R. O., Sheldon, R., Wallace, R. B. Pregnancy and open heart surgery. Circulation, 1969, 39, 40, 1, p. 257-262.
Go to original source...
Go to PubMed...
- Becker, R. M. Intracardiac surgery in pregnant women. The Annals of Thoracic Surgery, 1983, 36, p. 453-458.
Go to original source...
Go to PubMed...
- Pomini, F., Mercogliano, D., Cavalletti, C., Caruso, A., Pomi-ni, P. Cardiopulmonary bypass in pregnancy. The Annals of Thoracic Surgery, 1996, 61, p. 259-268.
Go to original source...
Go to PubMed...
- Reitman, E., Flood, P. Anaesthetic considerations for non-obstetric surgery during pregnancy. British Journal of Anaesthesia, 2011, 107 (S1), p. 72-78.
Go to original source...
Go to PubMed...
- Horszczaruk, G. J., Roik, M. F., Kochman, J. et al. Aortic dis-section involving ostium of right coronary artery as the reason of myocardial infarction. European Heart Journal, 2006, 27, p. 518.
Go to original source...
Go to PubMed...
- Mészáros, I., Mórocz, J., Szlávi, J. et al. Epidemiology and clinicopathology of aortic dissection. A population-based longitudinal study over 27 years. CHEST Journal, 2000, 117, p. 1271-1278.
Go to original source...
Go to PubMed...
- Shiga, T., Wajima, Z., Apfel, C. C., Inoue, T., Ohe, Y. Diagnostic Accuracy of Transesophageal Echocardiography, Helical Computed Tomography, and Magnetic Resonance Imaging for Suspected Thoracic Aortic Dissection: Systematic Review and Meta-analysis. Archives of Internal Medicine, 2006, 166, 13, p. 1350-1356.
Go to original source...
Go to PubMed...
- Meredith, E. L., Masani, N. D. Echocardiography in the emergency assessment of acute aortic syndromes. European Journal of Echocardiography, 2009, 10, p. 31-39.
Go to original source...
Go to PubMed...
- Hiratzka, L. F., Bakris, G. L., Beckman, J. A., Bersin, R. M., Carr, V. F., Casey, D. E., Eagle, K. A., Hermann, L. K., Isselbacher, E. M., Kazerooni, E. A. et al. Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease. Journal of the American College of Cardiology, 2010, 55, 14, p. 27-129.
Go to original source...
Go to PubMed...
- Ham, S. Emergency repair of Arotic Dissection in a 37-week parturient. AANA Journal, 2010, 78, p. 63-68.
Go to PubMed...
- Haas, S., Trepte, C., Rybczynski, M., Somville, T., Treede, H., Reuter, D. A. Type A aortic dissection during late pregnancy in a patient with Marfan syndrome. Canadian Journal of Anaesthesia, 2011, 58, p. 1024-1028.
Go to original source...
Go to PubMed...