Delgado García DR, Latorre Andreu P, Fernández Tomás B, Tébar Cuesta MI. Marfan syndrome in a term-pregnant woman with aortic root dilatation between 40 and 45 mm.
ACTA ACUST UNITED AC 2018;
66:49-52. [PMID:
30447896 DOI:
10.1016/j.redar.2018.08.007]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Revised: 08/30/2018] [Accepted: 08/31/2018] [Indexed: 10/27/2022]
Abstract
Marfan syndrome is a hereditary connective tissue disorder. The main cause of mortality in these patients is due to cardiovascular complications related to dilation of an aneurysm and dissection of the aortic root, a situation that increases their risk due to the physiological changes that occur during pregnancy, childbirth and puerperium. The case is presented of a pregnant woman with Marfan syndrome and aortic root dilatation of 42mm. The issues are discussed, such as the mode of delivery (vaginal delivery vs. caesarean section) depending on the aortic root diameter or the choice of type of anaesthesia (general vs. neuraxial) in these cases.
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