Dissecting aortic aneurysm and pregnancy
- Authors: Smolnova T.V.1, Konysheva O.V.2, Tyulkina E.E.2,3, Bayandin N.L.2,4, Mikhsin S.V.2
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Affiliations:
- Moscow State University of Medicine and Dentistry
- O.M. Filatov City Clinical Hospital
- PFUR
- I.M. Sechenov 1st MSMU
- Issue: No 8 (2015)
- Pages: 102-108
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247539
- ID: 247539
Cite item
Open Access
Access granted
Abstract
Objective. To familiarize practitioners with diagnosis and treatment policy in patients with dissecting aortic aneurysm during pregnancy, labor, delivery, and the postpartum period. Subjects and methods. Two clinical cases of dissecting aortic aneurysm during pregnancy, labor, delivery, and the postpartum period were analyzed. Results. The paper analyzes 2 clinical cases of dissecting aortic aneurysm in the pregnant women and puerperas, one of which had a tragic end. It considers the urgency of the problem in pregnant women: its incidence is 0.6%; 4.5-6 and 20% of the cases are for Marfan syndrome and Loeys-Dierz syndrome, respectively. In urgent disease development, the survival rates are not greater than 9-13%. Follow-up prenatal visits according to the current order No. 572-н and clinical recommendations in the specialized health care facilities (HCF) will be able to prevent maternal mortality. Recommendations for diagnosis, management and treatment are given. Conclusion. The stages of examination and management of patients with cardiovascular diseases (in the context of connective tissue syndromes in this case), moreover, in the specialized HCF, guarantee successful management and prevention of fatal outcomes.
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About the authors
Tatiana V. Smolnova
Moscow State University of Medicine and Dentistry
Email: smoltat@list.ru
MD, Associate Professor of Department of Reproductive Medicine and Surgery; Senior Researcher department of operative gynecology
Olga V. Konysheva
O.M. Filatov City Clinical Hospital
Email: okonysheva@mail.ru
MD, deputy of chief physician of obstetrics and gynecology
Ekaterina E. Tyulkina
O.M. Filatov City Clinical Hospital; PFUR
Email: tyulkinae@rambler.ru
MD, Professor, Head of the Department of Therapy, PFUR; Chief Physician of O.M. Filatov City Clinical Hospital.
Nikolai L. Bayandin
O.M. Filatov City Clinical Hospital; I.M. Sechenov 1st MSMU
Email: doctor@vipmedicina.ru
MD, professor of cardiovascular surgery and interventional cardiology I.M. Sechenov 1st MSMU, Head of 5th Cardiac Surgery Department, O.M. Filatov City Clinical Hospital.
Svetlana V. Mikhsin
O.M. Filatov City Clinical Hospital
Email: svetaadren@mail.ru
MD, obstetrician-gynecologist, head of the Department of specialized cardiac care for pregnant
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