[Clinical analysis of pregnancy and postpartum cardiovascular complications in Marfan syndrome].
Zhonghua Fu Chan Ke Za Zhi
; 42(11): 742-4, 2007 Nov.
Article
en Zh
| MEDLINE
| ID: mdl-18307899
ABSTRACT
OBJECTIVE:
To investigate the management of pregnancy and cardiovascular complications in women with Marfan syndrome (MFS).METHODS:
From October 1994 to September 2006, 30 patients with MFS undergoing cardiovascular surgery were studied retrospectively.RESULTS:
In the labor of 46 offsprings given birth by 30 women, 5 cases (11%) were performed elective cesarean section because of the existence of aortic complication, and 12 (26%) were diagnosed as MFS. The gestation in two patients was terminated due to deterioration of aortic abnormalities during their third trimester, and they received surgical treatment with Bentall procedure. Two developed acute aortic dissection during labor and post delivery respectively. With the manipulation of anticoagulation peripartum, one who had the implantation with mechanical prosthesis went through pregnancy and delivery uneventfully. The average duration between delivery and cardiovascular surgery was (15 +/- 9) years.CONCLUSIONS:
Vaginal delivery can be done safely in patients with the MFS who do not have or have mild cardiovascular system abnormalities, aortic dissection, or other important cardiac abnormalities, cesarean section should be the preferred method of delivery. Women with MFS are at increased risk for dissection and congestive heart failure during pregnancy and should be counseled before pregnancy about these risks, as well as the inheritance of the condition.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Aneurisma de la Aorta
/
Complicaciones Cardiovasculares del Embarazo
/
Disección Aórtica
/
Síndrome de Marfan
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Middle aged
/
Pregnancy
Idioma:
Zh
Revista:
Zhonghua Fu Chan Ke Za Zhi
Año:
2007
Tipo del documento:
Article
País de afiliación:
China