Endovascular repair of a thoracic aortic aneurysm in pregnancy at 22 weeks of gestation

Veer Chahwala, Jun Tashiro, Atif Baqai, Edward Gologorsky, Jorge Rey, Handel Robinson

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Thoracic aortic aneurysm is a rare condition that carries a critical risk of rupture and mortality. These risks are increased during pregnancy because of a progressively hyperdynamic pattern of circulation. Simultaneously, pregnancy-imposed limitations on the use of ionized radiation and intravenous contrast agents may render conventional techniques for imaging and repair confirmation less acceptable. We describe a novel approach to intraoperative management of an endovascular repair for symptomatic thoracic saccular aneurysm in a pregnant patient, based on intravascular ultrasound and transesophageal echocardiography, with maintenance of uterine perfusion. The patient recovered well and proceeded to a normal delivery. Despite a favorable outcome in this case, further studies of perioperative management of aortic disease in pregnancy are needed.

Original languageEnglish (US)
Pages (from-to)1323-1325
Number of pages3
JournalJournal of Vascular Surgery
Volume62
Issue number5
DOIs
StatePublished - Nov 1 2015

Fingerprint

Thoracic Aortic Aneurysm
Pregnancy
Aortic Diseases
Transesophageal Echocardiography
Contrast Media
Aneurysm
Rupture
Thorax
Perfusion
Maintenance
Radiation
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Endovascular repair of a thoracic aortic aneurysm in pregnancy at 22 weeks of gestation. / Chahwala, Veer; Tashiro, Jun; Baqai, Atif; Gologorsky, Edward; Rey, Jorge; Robinson, Handel.

In: Journal of Vascular Surgery, Vol. 62, No. 5, 01.11.2015, p. 1323-1325.

Research output: Contribution to journalArticle

Chahwala, Veer ; Tashiro, Jun ; Baqai, Atif ; Gologorsky, Edward ; Rey, Jorge ; Robinson, Handel. / Endovascular repair of a thoracic aortic aneurysm in pregnancy at 22 weeks of gestation. In: Journal of Vascular Surgery. 2015 ; Vol. 62, No. 5. pp. 1323-1325.
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