Key result
A planned pregnancy occurred in a 27-year-old woman with a history of chronic type B aortic dissection caused by childhood balloon dilation of aortic coarctation.
Why the study?
Pregnancy increases aortic wall stress and, in women with chronic dissection, can lead to extension of the dissection, aortic rupture, and death.
Case Report (n=1)
This case report highlights the occurrence of a planned pregnancy in a patient with a high-risk chronic type B aortic dissection.
Warrants caution and individualized assessment for pregnancy in chronic type B dissection; extends anecdotal evidence but leaves open systematic outcome data.
Pregnancy increases aortic wall stress and, for a woman with a chronic dissection, this can lead to extension of the dissection, aortic rupture, and death. We report a pregnancy in a woman with a history of a chronic type B aortic dissection. As a child, she had repeat balloon dilation of aortic coarctation, and one of the procedures was complicated by an iatrogenic dissection at the dilation site. At the age of 27 years, she had a planned pregnancy.
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Nair et al. (2020) conducted a case report in Pregnancy with chronic type B aortic dissection (n=1). Pregnancy was evaluated. A planned pregnancy occurred in a 27-year-old woman with a history of chronic type B aortic dissection caused by childhood balloon dilation of aortic coarctation.
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