Key result
Surgical management of aortic aneurysm and dissection in three pregnant patients with Marfan's syndrome resulted in successful maternal and fetal outcomes.
Case Report (n=3)
No
Pregnant patients with Marfan's syndrome require close multidisciplinary monitoring and preconceptual counseling for aortic root diameter >4 cm to prevent fatal aortic dissection.
Answers are grounded in this paper and cite their sources.
May support surgical management of aortic complications in pregnant Marfan patients; leaves open optimal strategies and generalizability.
In the current article, 3 cases of aortic aneurysm and dissection in pregnant patients with Marfan's syndrome are reported. It is well known that pregnancy is a risk factor for the development of aortic aneurysm and dissection in women with Marfan's syndrome since it is shown that dissection can develop both before and after labor. Marfan patients with an aortic root diameter greater than 4 cm should undergo preconceptual counseling for surgical aortic repair before pregnancy. Pregnant Marfan patients with an aortic aneurysm should be closely and continuously evaluated by multidisciplinary specialists in order to prevent possible aortic dissection that could be fatal for both the mother and the fetus.
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Vraneš et al. (2011) conducted a case report in Aortic aneurysm and dissection in Marfan's syndrome during pregnancy (n=3). Surgical aortic repair was evaluated on Maternal and fetal survival and surgical outcome. Surgical management of aortic aneurysm and dissection in three pregnant patients with Marfan's syndrome resulted in successful maternal and fetal outcomes.
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