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Ann Thorac Surg 2003;76:309-314
© 2003 The Society of Thoracic Surgeons

Review

Aortic dissection in pregnancy: analysis of risk factors and outcome

Franz F. Immer, MDa*, Anne G. Bansi, MDa, Alexsandra S. Immer-Bansi, MDb, Jane McDougall, MDc, Kenton J. Zehr, MDd, Hartzell V. Schaff, MDd, Thierry P. Carrel, MDa

a Department of Cardiovascular Surgery, Berne, Switzerland
b Institute of Anesthesiology, Berne, Switzerland
c Division of Neonatology, University Hospital, Berne, Switzerland
d Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA

* Address reprint requests to Dr Immer, Department of Cardiovascular Surgery, University Hospital, 3010 Berne, Switzerland
e-mail: franzimmer{at}yahoo.de

Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient’s characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection.




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