Risk of development of abdominal aortic aneurysm and dissection of thoracic aorta in a postpartum woman with Marfan's syndrome

被引：15

作者：

Tomihara, Aki ^{[2
]}

Ashizawa, Naoto ^{[1
]}

Abe, Kuniko ^{[2
]}

Kinoshita, Naoe ^{[2
]}

Chihaya, Keisuke ^{[2
]}

Yonekura, Tsuyoshi ^{[1
]}

Fukae, Satoki ^{[1
]}

Ashizawa, Kazuto ^{[3
]}

Eishi, Kiyoyuki ^{[4
]}

Hayashi, Tomayoshi ^{[2
]}

Yano, Katsusuke ^{[1
]}

机构：

[1] Nagasaki Univ, Grad Sch Biomed Sci, Div Cardiovasc Med, Nagasaki 8528501, Japan

[2] Nagasaki Univ Hosp, Dept Pathol, Nagasaki, Japan

[3] Nagasaki Univ Hosp, Dept Radiol, Nagasaki, Japan

[4] Nagasaki Univ, Grad Sch Biomed Sci, Div Cardiovasc Surg, Nagasaki 8528501, Japan

来源：

INTERNAL MEDICINE | 2006年 / 45卷 / 22期

关键词：

Marfan's syndrome; postpartum; abdominal aortic aneurysm; descending thoracic aortic dissection;

D O I：

10.2169/internalmedicine.45.1880

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 24-year-old pregnant woman with Marfan's syndrome delivered by cesarean section during the 38th week of gestation. Although aortic root dilatation did not increase during pregnancy, three months after delivery, the patient noticed a pulsatile abdominal mass. Aortic aneurysm was diagnosed and surgical replacement of the infrarenal abdominal aorta to the common iliac arteries and reconstruction of the inferior mesenteric artery were performed. Moreover, the patient subsequently developed a Stanford type B thoracic aortic dissection, even after more than four months of beta-blockade.

引用

页码：1285 / 1289

页数：5

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