AORTIC RUPTURE IN PREGNANT WOMEN WITH SYSTEMIC LUPUS ERYTHEMATOSUS


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper describes a case of aortic rupture in a pregnant woman with systemic lupus erythematosus occurring with a predominance of behavioral and memory problems. It points out its relatively favorable outcome and also considers prospects in the surgical treatment of even extensive aortic dissection.

Full Text

Restricted Access

About the authors

S. Mravyan

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: 1аkmoniiag@mail.ru

A. Efanov

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: 1аkmoniiag@mail.ru

E. Stepanova

M.F. Vladimirsky Moscow Regional Clinical Research Institute

Email: 1аkmoniiag@mail.ru

D. Podrez

M.F. Vladimirsky Moscow Regional Clinical Research Institute

Email: 1аkmoniiag@mail.ru

References

  1. Özdemir B. Gebelikte aort diseksiyonu. Turkiye Klinikleri // J. Int. Med. Sci. -2005; 1: 54-8.
  2. Kamel H., Roman M., Pitcher A. et al. Pregnancy and the Risk of Aortic Dissection or Rupture: A Cohort-Crossover Analysis // Circulation. - 2016; 134: 527-33. doi: 10.1161/CIRCULATIONAHA.116.021594.
  3. Coulon C. Thoracic aortic aneurysms and pregnancy // Presse Med. - 2015; 44: 1126-35. doi: 10.1016/j.lpm.2015.02.024.
  4. Srettabunjong S. Spontaneous rupture of acute ascending aortic dissection in a young pregnant woman: a sudden unexpected death // Forensic. Sci. Int. -2013; 232 :5-8. doi: 10.1016/j.forsciint.2013.08.005.
  5. Janion M., Sadowski J., Janion-Sadowska A. et al. Acute aortic dissection in a 34 year old pregnant woman - a case report // Kardiol. Pol. - 2006; 64: 183-8.
  6. Pánczél Z., Sára L, Tóth P. et al. Spontaneous aortic rupture during pregnancy // Orv. Hetil. - 2011; 152: 929-33. doi: 10.1556/OH.2011.29132.
  7. Bălănescu A., Donisan T., Bălănescu D. An ever-challenging relationship: lupus and pregnancy // Reumatologia. - 2017; 55: 29-37. DOI: 10.5114/ reum.2017.66685.
  8. Bundhun P., Soogund M., Huang F. Impact of systemic lupus erythematosus on maternal and fetal outcomes following pregnancy: A meta-analysis of studies published between years 2001-2016 // J. Autoimmun. - 2017; 79: 17-27. doi: 10.1016/j.jaut.2017.02.009.
  9. Лила А.М., Трофимов Е.А., Лила В.А. Системная красная волчанка: особенности течения у беременных и варианты терапии // Совр. ревматол. - 2015; 3: 43-7.
  10. Rezk M., Ellakwa H., Al-Halaby A. et al. Predictors of poor obstetric outcome in women with systemic lupus erythematosus: a 10-year experience of a university hospital // J. Matern. Fetal Neonatal. Med. - 2016; b1-5. doi: 10.1080/14767058.2016.1236244. [Epub. ahead of print].
  11. Пономарева Е.Ю., Ребров А.П. Инфекционный эндокардит в «маске» системной красной волчанки // Научно-практ. ревматол. - 2012; 6: 103-5.
  12. Brinkmann V., Rechard U., Goosmann C. et al. Neutrophil extracelllular traps kill bacteria // Science. - 2004; 303: 1532-5.
  13. Kessenbrock K., Krumbholz M., Schonermarck U. et al. Netting neutrophils in autoimmune small vessel vasculitis // Nature Medicine. - 2009; 15: 623-5. doi: 10.1038/nm.1959.
  14. Hakkim A., Furnrohr B., Amann K. et al. Impairment of neutrophil extracellular trap degradation is associated with lupus nephritis // Proc. Natl. Acad. Sci. USA. - 2010; 107: 9813-8. doi: 10.1073/pnas.0909927107.
  15. Lande R., Ganguly D., Facchinetti V. et al. Neutrophils activate plasmacytoid dendritic cells by releasing self_DNA peptide complexe in systemic lupus erythematosus // Sci. Transl. Med. - 2011; 3: 73. DOI: 10.1126/ scitranslmed.3001180.
  16. Villanueva E., Yalavarthi S., Berthier C. et al. Netting neutrophils induce endothelial damage, infiltrate tissues, and expose immunostimulatory molecules in systemic lupus erythematosus // J. Immunol. - 2011; 187: 538-52. DOI: 10.4049/ jimmunol.1100450.
  17. Denny M., Yalavarthi S., Zhao W. et al. A distinct subset of proinflammatory neutrophils isolated from patients with systemic lupus erythematosus induces vascular damage and synthesizes type I IFNs // J. Immunol. - 2010; 184: 3284-97. doi: 10.4049/jimmunol.0902199.
  18. Хусаинова Д.К., Салихов И.Г., Терегулов Ю.Э. и др. Эндотелиальная дисфункция у больных системной красной волчанкой // Научно-практ. ревматол. - 2005; 2: 15-9.
  19. Rajagopalan S., Somers E., Brook R. et al. Endothelial cell apoptosis in systemic lupus erythematosus: a common pathway for abnormal vascular function and thrombosis propensity // Blood. - 2004; 103: 3677-83.
  20. Sternlicht M., Werb Z. How matrix metalloproteinases regulate cell behavior // Annu Rev. Cell Dev. Biol. - 2001; 17: 463-516.
  21. Faber-Elmann A., Sthoeger Z., Tcherniack A. et al. Activity of matrix metalloproteinase-9 is elevated in sera of patients with systemic lupus erythematosus // Clin. Exp. Immunol. - 2002; 127: 393-8.
  22. El-Magadmi M., Bodill H., Ahmad H. et al. Systemic lupus erythematosus: an independent risk factor for endothelial dysfunction in women // Circulation. -2004; 110: 339-404.
  23. Nishimoto A., Haraguchi S., Kishi T. et al. Case of systemic lupus erythematosus patient who died of rupture of abdominal aortic aneurysm // Nihon Jinzo Gakkai Shi. - 2003; 45: 701-5.
  24. Sato J., Kawakami T., Nakabayashi K. et al. Multiple aortic aneurysms complicated by a rupture in the systemic lupus erythematosus: a case report // Pathol. Res. Pract. - 2008; 204: 845-50. doi: 10.1016/j.prp.2008.05.009.
  25. Abe S., Ooyasu T., Itou M. et al. Ruptured descending aortic aneurysm in a young woman with systemic lupus erythematosus // Kyobu Geka. - 2010; 63: 565-7.
  26. Wei H., Chung H., Wu C. et al. Aortic dissection complicated with hemothorax in an adolescent patient with systemic lupus erythematosus: case report and review of literature // Semin. Arthritis Rheum. - 2011; 41: 12-8. doi: 10.1016/j.semarthrit.2010.08.002.
  27. Rached-d'Astous S., Dahdah N., Brochu P. et al. Rapidly progressive aortic aneurysmal dilation in a child with systemic lupus erythematosus: too early too severe // BMJ Case Rep. - 2014; doi: 10.1136/bcr-2013-201014.
  28. Ohara N., Miyata T., Kurata A. et al. Ten years' experience of aortic aneurysm associated with systemic lupus erythematosus // Eur. J. Vasc. Endovasc. Surg. - 2000; 19: 288-93.
  29. Liu S., Alkema P., Tieche C. et al. Negative regulation of monocyte adhesion to arterial elastic laminae by signal-regulatory protein alpha and SH2 domain-containing protein tyrosine phosphatase-1 // J. Biol. Chem. - 2005; 280: 39294-301.
  30. Kurata A., Kawakami T., Sato J. et al. Aortic aneurysms in systemic lupus erythematosus: a meta-analysis of 35 cases in the literature and two different pathogeneses // Cardiovasc. Pathol. - 2011; 20: 1-7. DOI: 10.1016/j. carpath.2010.01.003.
  31. Burke A., Tavora F., Narula N. et al. Aortitis and ascending aortic aneurysm: description of 52 cases and proposal of a histologic classification // Hum. Pathol. - 2008; 39: 514-26. doi: 10.1016/j.humpath.2007.08.018.
  32. He R., Guo D., Estrera A. et al. Characterization of the inflammatory and apoptotic cells in the aortas of patients with ascending thoracic aortic aneurysms and dissections // J. Thorac. Cardiovasc. Surg. - 2006; 131: 671-8.
  33. Вахитов Д., Суоминен В., Корхонинен Дж. и др. Эндоваскулярное лечение больного с микотическими аневризмами брюшной аорты и нижней брыжеечной артерии // Ангиология и сосудистая хирургия. - 2016; 1: 83-5.
  34. McMahon M., Skaggs B. Pathogenesis and treatment of atherosclerosis in lupus // Rheum. Dis. Clin. North Am. - 2014; 40 (3): 475-95.
  35. Reynaud Q., Lega J.-C., Mismetti P. et al. Risk of venous and arterial thrombosis according to type of antiphospholipid antibodies in adults without systemic lupus erythematosus: a systematic review and meta-analysis // Autoimmun. Rev. - 2014; 13: 595-608.
  36. Bossone E., Pyeritz R., Braverman A. et al. Shock complicating type A acute aortic dissection: Clinical correlates, management, and outcomes // Am. Heart J. - 2016; 176: 93-9. doi: 10.1016/j.ahj.2016.02.019.
  37. Rajagopalan S., Nwazota N., Chandrasekhar S. Outcomes in pregnant women with acute aortic dissections: a review of the literature from 2003 to 2013 // Int. J. Obstet. Anesth. - 2014; 23: 348-56. DOI: 10.1016/j. ijoa.2014.05.001.
  38. Park S., Hutchison S., Mehta R. et al. Association of painless acute aortic dissection with increased mortality // Mayo Clin. Proc. - 2004; 79: 1252-7.
  39. Bossone E., Corteville D., Harris K. et al. Stroke and outcomes in patients with acute type A aortic dissection // Circulation. - 2013; 128 (11 Suppl. 1): 175-9. doi: 10.1161/circulationaha.112.000327.
  40. Gaul C., Dietrich W., Friedrich I. et al. Neurological symptoms in type A aortic dissections // Stroke. - 2007; 38: 292-7.
  41. Ohara T., Koga M., Tokuda N. et al. Rapid Identification of Type A Aortic Dissection as a Cause of Acute Ischemic Stroke // J. Stroke Cerebrovasc. Dis. -2016; 25: 1901-6. doi: 10.1016/j.jstrokecerebrovasdis.2016.04.005. 10'2017 ВРАЧ
  42. Walma R., Vermeij F., Bakker S. Neurological signs in aortic dissection // Ned. Tijdschr. Geneeskd. - 2013; 157: A6259.
  43. Witsch T., Stephan A., Hederer P. et al. Aortic Dissection Presenting as «Hysteria» // J. Emerg. Med. - 2015; 49: 627-9. DOI: 10.1016/j. jemermed.2015.05.039.
  44. Lawal O., Dhindsa H., Loyd J. A patient with altered mental status and possible seizure reveals an atypical aortic dissection upon workup // Am. J. Emerg. Med. - 2014; 32: 488.e1-2. doi: 10.1016/j.ajem.2013.11.010.
  45. Gaul C., Dietrich W., Tomandl B. et al. Aortic dissection presenting with transient global amnesia-like symptoms // Neurology. - 2004; 63: 2442-3.
  46. Hagan P., Nienaber C., Isselbacher E. et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease // JAMA. - 2000; 283: 897-903.
  47. Gaul C., Dietrich W., Erbguth F. Neurological symptoms in aortic dissection: a challenge for neurologists // Cerebrovasc. Dis. - 2008; 26: 1-8. doi: 10.1159/000135646.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2017 Russkiy Vrach Publishing House

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies