Faculty Collaboration Database

Massive retrograde acute type B aortic dissection in a postpartum woman with a family history of Marfan syndrome. J Clin Anesth 2008 Feb;20(1):50-3

Date

03/19/2008

Pubmed ID

18346611

DOI

10.1016/j.jclinane.2007.06.019

Scopus ID

2-s2.0-40749135428 (requires institutional sign-in at Scopus site)   18 Citations

Abstract

Acute aortic dissection is rare but potentially catastrophic complication of pregnancy. Aortic root enlargement, congenital bicuspid aortic valve disease, and Marfan syndrome have been identified as critical risk factors for peripartum aortic dissection. Most of the aortic dissections reported to date involve the ascending aorta and occur before delivery, but only a few cases of postpartum aortic dissection have been described. In this report, we discuss the management of a multigravid parturient with an extensive family history of Marfan syndrome who developed a massive retrograde type B aortic dissection 7 days after a normal spontaneous vaginal delivery.

Author List

Gandhi SD, Iqbal Z, Markan S, Almassi GH, Pagel PS

Authors

G Hossein Almassi MD Professor in the Surgery department at Medical College of Wisconsin
Sweeta D. Gandhi MD Associate Professor in the Anesthesiology department at Medical College of Wisconsin
Paul S. Pagel PhD, MS, MD Emeritus Professor in the Anesthesiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aortic Aneurysm, Thoracic
Family
Female
Humans
Marfan Syndrome
Puerperal Disorders
Treatment Outcome