Key result
Staged open surgical and endovascular reconstruction was utilized to treat a young woman who developed a progressive pregnancy-associated aortic dissection.
Why the study?
Aortic dissection in pregnancy is a rare, potentially fatal challenge, and little is published on the efficacy of endovascular strategies.
Case Report (n=1)
Highlights the feasibility of combining open surgical and endovascular strategies for managing complex, progressive pregnancy-associated aortic dissection.
Staged hybrid reconstruction may be feasible in select pregnancy-associated aortic dissection; leaves open questions of safety, durability, and generalizability.
Aortic dissection in the setting of pregnancy and peripartum period presents a rare challenge, and can be fatal, particularly in the setting of connective tissue disorders. Familial aortopathies and connective tissue disease must be considered when young patients present with complex aortic disease. Although there is a historical precedent for open surgical repair in these cases within the vascular surgery community, little is published on the efficacy of endovascular strategies. Herein, we present a case of a young woman who developed an aortic dissection associated with pregnancy requiring staged open surgical and endovascular reconstruction for her complex aortic disease.
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Clark et al. (2025) conducted a case report in Pregnancy-associated aortic dissection (n=1). Staged open surgical and endovascular reconstruction was evaluated. Staged open surgical and endovascular reconstruction was utilized to treat a young woman who developed a progressive pregnancy-associated aortic dissection.
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