Pregnancy and Aortic Dissections
Aortic dissection during pregnancy is a rare but life-threatening condition that can affect both the mother and the baby. It's the third most common cause of maternal death from cardiovascular disease.
Symptoms
Sudden, severe pain in the chest, upper back, or abdomen
Pain that radiates to the neck or down the back
Shortness of breath
Loss of consciousness
Risk factors
Marfan syndrome
Loeys-Dietz syndrome
Bicuspid aortic valve (BAV) with aneurysm
Vascular Ehlers-Danlos syndrome
Turner syndrome
Aortic root enlargement
Increased circulating volume and cardiac output during pregnancy
Hormonal changes during pregnancy
Treatment:
Surgery
Medication, such as beta blockers
Prevention
Women with significant aortic dilatation should avoid pregnancy or have prophylactic aortic aneurysm surgery before conception
At-risk women should have preconception counseling to discuss risks and optimal management
Complications cardiac tamponade and shock.
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