Pregnancy‐Related Aortic Dissection—A Rare Complication of Pregnancy
2025

Pregnancy-Related Aortic Dissection—A Rare Complication of Pregnancy

publication Evidence: moderate

Author Information

Author(s): Shaikh Mohammad Baseem, Stafford Reagan Michelle, Ogburn Erinn, Tyagi Samuel

Primary Institution: University of Kentucky

Conclusion

Patients with pregnancy-related aortic dissections should be transferred to high-volume aortic centers for management to improve outcomes.

Supporting Evidence

  • Pregnancy-related aortic dissections are rare, occurring in about 0.0004% of pregnancies.
  • Malperfusion syndromes from acute type A aortic dissections appear to have better outcomes with thoracic endovascular repair before definitive surgical repair.
  • Patients with pregnancy-related acute type A aortic dissection should be transferred to a high-volume aortic center to improve survival.

Takeaway

Pregnancy can sometimes lead to a serious condition called aortic dissection, which is when the main artery in the body tears. It's important for these patients to get help from special hospitals that deal with a lot of these cases.

Methodology

The case report details the management of a patient with pregnancy-related aortic dissection and malperfusion syndrome, including imaging and surgical interventions.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

36-year-old female with a history of substance use disorder in remission.

Statistical Information

P-Value

p=0.05

Confidence Interval

95% CI, 1.5–29

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/ccr3.70090

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