• 1
    Immer FF, Bansi AG, Immer-Bansi AS, et al. Aortic dissection in pregnancy: analysis of risk factors and outcome. Ann Thorac Surg. 2003;76:309314.
  • 2
    Nasiell J, Lindqvist PG. Aortic dissection in pregnancy: the incidence of a life-threatening disease. Eur J Obstet Gynecol Reprod Biol. 2010;149:120121.
  • 3
    Isselbacher EM. Epidemiology of thoracic aortic aneurysms, aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcers. In: Eagle KA, Baliga RR, Isselbacher EM, et al, eds. Aortic Dissection and Related Syndromes. New York, NY: Springer; 2007:115.
  • 4
    Ramanath VS, Oh JK, Sundt TM 3rd, et al. Acute aortic syndromes and thoracic aortic aneurysm. Mayo Clin Proc. 2009;84:465481.
  • 5
    Braverman AC. Acute aortic dissection: clinician update. Circulation. 2010;122:184188.
  • 6
    Lin AE, Lippe B, Rosenfeld RG. Further delineation of aortic dilation, dissection and rupture in patients with Turner syndrome. Pediatrics. 1998;102:1220.
  • 7
    Januzzi JL, Isselbacher EM, Fattori R, et al; International Registry of Aortic Dissection (IRAD). Characterizing the young patient with aortic dissection: results from the International Registry of Aortic Dissection (IRAD). J Am Coll Cardiol. 2004;43:665669.
  • 8
    Parai JL, Masters RG, Walley VM, et al. Aortic medial changes associated with bicuspid aortic valve: myth or reality? Can J Cardiol. 1999;15:12331238.
  • 9
    Nataf P, Lansac E. Dilation of the thoracic aorta: medical and surgical management. Heart. 2006;92:13451352.
  • 10
    US National Institutes of Health, National Library of Medicine, Genetics Home Reference. Familial thoracic aortic aneurysm and dissection. Updated May 29, 2013.
  • 11
    Haberstroh WD, Johnson WD, Slate WG. Pregnancy with fatal aortic dissection in a patient with Marfan's syndrome. Del Med J. 1982;54:617620.
  • 12
    Baltazar RF, Mower MM, Aquino N, et al. Echocardiogram of the month: acute pulmonary edema in a pregnant patient. Arch Intern Med. 1983;143:781783.
  • 13
    Ferguson JE 2nd, Ueland K, Stinson EB, et al. Marfan's syndrome: acute aortic dissection during labor, resulting in fetal distress and cesarean section, followed by successful surgical repair. Am J Obstet Gynecol. 1983;147:759762.
  • 14
    Rosenblum NG, Grossman AR, Gabbe SG, et al. Failure of serial echocardiographic studies to predict aortic dissection in a pregnant patient with Marfan's syndrome. Am J Obstet Gynecol. 1983;146:470471.
  • 15
    Katz NM, Collea JV, Moront MG, et al. Aortic dissection during pregnancy: treatment by emergency cesarean section immediately followed by operative repair of the aortic dissection. Am J Cardiol. 1984;54:699701.
  • 16
    Cola LM, Lavin JP Jr. Pregnancy complicated by Marfan's syndrome with aortic arch dissection, subsequent aortic arch replacement and triple coronary artery bypass grafts. J Reprod Med. 1985;30:685688.
  • 17
    Pumphrey CW, Fay T, Weir I. Aortic dissection during pregnancy. Br Heart J. 1986;55:106108.
  • 18
    Griffith LD, Raney AA, Dembitsky WP, et al. Takayasu's arteriopathy with associated descending thoracic aortic dissection during pregnancy: a multidisciplinary approach leading to a successful outcome: a case presentation. Vasc Surg. 1987;21:108119.
  • 19
    Shime J, Mocarski EJ, Hastings D, et al. Congenital heart disease in pregnancy: short- and long-term implications. Am J Obstet Gynecol. 1987;156:313322.
  • 20
    Snir E, Levinsky L, Salomon J, et al. Dissecting aortic aneurysm in pregnant women without Marfan disease. Surg Gynecol Obstet. 1988;167:463465.
  • 21
    Williams GM, Gott VL, Brawley RK, et al. Aortic disease associated with pregnancy. J Vasc Surg. 1988;8:470475.
  • 22
    Kao YJ, Zavisca FG, Tellez JM, et al. Backache after extradural anaesthesia in the postpartum period: dissection of thoracic aneurysm. Br J Anaesth. 1991;67:335338.
  • 23
    Chow SL. Acute aortic dissection in a patient with Marfan's syndrome complicated by gestational hypertension. Med J Aust. 1993;159:760762.
  • 24
    Maurer IC, Bernhard A. Acute aortic dissection (type II) in a pregnant woman with the Marfan's syndrome: case study and literature review. Vasc Endovasc Surg. 1993;27:555559.
  • 25
    Anderson RA, Fineron PW. Aortic dissection in pregnancy: importance of pregnancy-induced changes in the vessel wall and bicuspid aortic valve in pathogenesis. Br J Obstet Gynaecol. 1994;101:10851088.
  • 26
    Pinosky ML, Hopkins RA, Pinckert TL, et al. Anesthesia for simultaneous cesarean section and acute aortic dissection repair in a patient with Marfan's syndrome. Cardiothorac Vasc Anesth. 1994;8:451454.
  • 27
    Wahlers T, Laas J, Alken A, et al. Repair of acute type A aortic dissection after cesarean section in the thirty-ninth week of pregnancy. J Thorac Cardiovasc Surg. 1994;107:314315.
  • 28
    Jayaram A, Carp HM, Davis L, et al. Pregnancy complicated by aortic dissection: caesarean delivery during extradural anaesthesia. Br J Anaesth. 1995;75:358360.
  • 29
    Khalil I, Fahl M. Acute infrarenal abdominal aortic dissection with secondary aneurysm formation in pregnancy. Eur J Vasc Endovasc Surg. 1995;9:481484.
  • 30
    Rossiter JP, Repke JT, Morales AJ, et al. A prospective longitudinal evaluation of pregnancy in the Marfan syndrome. Am J Obstet Gynecol. 1995;173:15991606.
  • 31
    Ortiz AC. Emergency! Thoracic aortic dissection. Am J Nurs. 1996;96:50.
  • 32
    Tritapepe L, Voci P, Pinto G, et al. Anaesthesia for caesarean section in a Marfan patient with recurrent aortic dissection. Can J Anaesth. 1996;43:11531155.
  • 33
    Babatasi G, Massetti M, Bhoyroo S, et al. Pregnancy with aortic dissection in Ehler-Danlos syndrome: staged replacement of the total aorta (10-year follow-up). Eur J Cardiothorac Surg. 1997;12:671674.
  • 34
    Lipscomb KJ, Smith JC, Clarke B, et al. Outcome of pregnancy in women with Marfan's syndrome. Br J Obstet Gynaecol. 1997;104:201206.
  • 35
    Zeebregts CJ, Schepens MA, Hameeteman TM, et al. Acute aortic dissection complicating pregnancy. Ann Thorac Surg. 1997;64:13451348.
  • 36
    Garvey P, Elovitz M, Landsberger EJ. Aortic dissection and myocardial infarction in a pregnant patient with Turner syndrome. Obstet Gynecol. 1998;91(5 part 2):864.
  • 37
    Mul TF, van Herwerden LA, Cohen-Overbeek TE, et al. Hypoxic-ischemic fetal insult resulting from maternal aortic root replacement, with normal fetal heart rate at term. Am J Obstet Gynecol. 1998;179(3 part 1):825827.
  • 38
    Madu EC, Shala B, Baugh D. Crack-cocaine–associated aortic dissection in early pregnancy—a case report. Angiology. 1999;50:163168.
  • 39
    Akashi H, Tayama K, Fujino T, et al. Surgical treatment for acute type A aortic dissection in pregnancy: a case of aortic root replacement just after Cesarean section. Jpn Circ J. 2000;64:729730.
  • 40
    Pakarian F, Ray SA, Bewley S. Relief of leg ischaemia by caesarean section: a case report of aortic dissection during pregnancy. Eur J Vasc Endovasc Surg. 2000;20:209210.
  • 41
    Plunkett MD, Bond LM, Geiss DM. Staged repair of acute type I aortic dissection and coarctation in pregnancy. Ann Thorac Surg. 2000;69:19451947.
  • 42
    Beauchesne LM, Connolly HM, Ammash NM, et al. Coarctation of the aorta: outcome of pregnancy. J Am Coll Cardiol. 2001;38:17281733.
  • 43
    Brar HB. Anaesthetic management of a caesarean section in a patient with Marfan's syndrome and aortic dissection. Anaesth Intensive Care. 2001;29:6770.
  • 44
    Fabricius AM, Autschbach R, Doll N, et al. Acute aortic dissection during pregnancy. Thorac Cardiovasc Surg. 2001;49:5657.
  • 45
    Lind J, Wallenburg HC. The Marfan syndrome and pregnancy: a retrospective study in a Dutch population. Eur J Obstet Gynecol Reprod Biol. 2001;98:2835.
  • 46
    Scott C, Burruss N, Kalimi R, et al. Acute ascending aortic dissection during pregnancy. Am J Crit Care. 2001;10:430433.
  • 47
    Velez LL, Toal K, Goodwin SA. Two lives on the line: a case study in obstetric critical care. Crit Care Nurse. 2002;22:2028.
  • 48
    Murphy BA, Zvara DA, Nelson LH, et al. Clinical conference: aprotinin use during deep hypothermic circulatory arrest for type A aortic dissection and cesarean section in a woman with preeclampsia. J Cardiothorac Vasc Anesth. 2003;17:252257.
  • 49
    Rahman J, Rahman FZ, Rahman W, et al. Obstetric and gynecologic complications in women with Marfan syndrome. J Reprod Med. 2003;48:723728.
  • 50
    Landin-Wilhelmsen K, Bryman I, Hanson C, et al. Spontaneous pregnancies in a Turner syndrome woman with Y-chromosome mosaicism. J Assist Reprod Genet. 2004;21:229230.
  • 51
    Vaideeswar P, Pandit SP, Patwardhan AM. Acute aortic dissection in pregnancy. Indian Heart J. 2004;56:354355.
  • 52
    Weissmann-Brenner A, Schoen R, Divon MY. Aortic dissection in pregnancy. Obstet Gynecol. 2004;103(5 part 2):11101113.
  • 53
    Cetin G, Ozkara A, Tireli E, et al. Myocardial ischemia after Cabrol operation. Asian Cardiovasc Thorac Ann. 2005;13:187189.
  • 54
    Ioscovich A, Elstein D. Images in anesthesia: transesophageal echocardiography during cesarean section in a Marfan's patient with aortic dissection. Can J Anaesth. 2005;52:737738.
  • 55
    Lewis S, Ryder I, Lovell AT. Peripartum presentation of an acute aortic dissection. Br J Anaesth. 2005;94:496499.
  • 56
    US Department of Health and Human Services, Agency for Healthcare Research and Quality; Pearlman MD, Desmond JS. Pregnant with danger. Published May 2005.
  • 57
    Sakaguchi M, Kitahara H, Seto T, et al. Surgery for acute type A aortic dissection in pregnant patients with Marfan syndrome. Eur J Cardiothorac Surg. 2005;28:280285.
  • 58
    Tilak M, Smith J, Rogers D, et al. Successful near-term pregnancy outcome after repair of a dissecting thoracic aortic aneurysm at 14 weeks gestation. Can J Anaesth. 2005;52:10711075.
  • 59
    Avila WS, Dias R, Yamada RT, et al. Acute aortic dissection during pregnancy. Arq Bras Cardiol. 2006;87:e112e115.
  • 60
    Evans PJ, Rajappan K, Stocks GM. Cardiorespiratory symptoms during pregnancy—not always pulmonary embolism. Int J Obstet Anesth. 2006;15:320324.
  • 61
    Pinto L, Appleton C, Clode N, et al. Acute ascending aortic dissection during pregnancy. J Obstet Gynaecol. 2006;26:161162.
  • 62
    Wooley JG 2nd, Redmon VW, Groom J. Lethal aortic dissection in a 33-week parturient: a case report. AANA J. 2006;74:440444.
  • 63
    McDermott CD, Sermer M, Siu SC, et al. Aortic dissection complicating pregnancy following prophylactic aortic root replacement in a woman with Marfan syndrome. Int J Cardiol. 2007;120:427430.
  • 64
    Seeburger J, Mohr FW, Falk V. Acute type A dissection at 17 weeks of gestation in a Marfan patient. Ann Thorac Surg. 2007;83:674676.
  • 65
    Wakiyama H, Nasu M, Fujiwara H, et al. Two surgical cases of acute aortic dissection in pregnancy with Marfan syndrome. Asian Cardiovasc Thorac Ann. 2007;15:e63e65.
  • 66
    Shaker WH, Refaat AA, Hakamei MA, et al. Acute type A aortic dissection at seven weeks of gestation in a Marfan patient: case report. J Card Surg. 2008;23:569570.
  • 67
    Morgan J. Dissection of a complicated pregnancy: aortic dissection in pregnancy is a rare, although not unheard of, complication. EMS Mag. 2008;37:6870.
  • 68
    Pagni S, Ganzel BL, Tabb T. Hemiarch aortic replacement for acute type A dissection in a Marfan patient with twin pregnancy. Interact Cardiovasc Thorac Surg. 2008;7:740741.
  • 69
    Ryugo M, Imagawa H, Shiozaki T, et al. Marfan's syndrome with acute aortic dissection during pregnancy. Jpn J Cardiovasc Surg. 2008;37:132135.
  • 70
    Shihata M, Pretorius V, MacArthur R. Repair of an acute type A aortic dissection combined with an emergency cesarean section in a pregnant woman. Interact Cardiovasc Thorac Surg. 2008;7:938940.
  • 71
    Boissonnas CC, Davy C, Bornes M, et al. Careful cardiovascular screening and follow-up of women with Turner syndrome before and during pregnancy is necessary to prevent maternal mortality. Fertil Steril. 2009;91:929.e5–929.e7.
  • 72
    Laudanski K, Robicsek S. Anaesthesia management of acute aortic dissection type B in Marfan syndrome complicating end-stage pregnancy. South Afr J Anaesth Analg. 2009;15:2930.
  • 73
    Nasiell J, Norman M, Lindqvist PG, et al. Aortic dissection in pregnancy: a life-threatening disease and a diagnosis of worth considering. Acta Obstet Gynecol Scand. 2009;88:11671170.
  • 74
    Pacini L, Digne F, Boumendil A, et al. Maternal complication of pregnancy in Marfan syndrome. Int J Cardiol. 2009;136:156161.
  • 75
    Papatsonis DN, Heetkamp A, van den Hombergh C, et al. Acute type A aortic dissection complicating pregnancy at 32 weeks: surgical repair after cesarean section. Am J Perinatol. 2009;26:153157.
  • 76
    Rodrigues C, Pinto L, Clode N, et al. Pregnancy after a previous gestation complicated by an acute aortic dissection. J Matern Fetal Neonatal Med. 2009;22:934935.
  • 77
    Yamawaki T, Nagaoka K, Morishige K, et al. Familial thoracic aortic aneurysm and dissection associated with Marfan-related gene mutations: case report of a family with two gene mutations. Intern Med. 2009;48:555558.
  • 78
    Crowley R, Corniea J, Chavez D, et al. Intraoperative diagnosis of aortic dissection in pregnancy. J Cardiothorac Vasc Anesth. 2010;24:116118.
  • 79
    Ham S. Emergency repair of aortic dissection in a 37-week parturient: a case report. AANA J. 2010;78:6368.
  • 80
    Kolesar A, Sabol F, Luczy J, et al. Use of left ventricle assist device in a pregnant woman with acute aortic and coronary dissections. Interact Cardiovasc Thorac Surg. 2010;11:194195.
  • 81
    Lakhi NA, Jones J. Takayasu's arteritis in pregnancy complicated by peripartum aortic dissection. Arch Gynecol Obstet. 2010;282:103106.
  • 82
    Parlakgumus HA, Haydardedeoglu B, Alkan O. Aortic dissection accompanied by preeclampsia and preterm labor. J Obstet Gynaecol Res. 2010;36:11211124.
  • 83
    Rolf T, Qanadli SD, Rey J, et al. Intussusception like lesion after fenestration in aortic type B dissection. Interact Cardiovasc Thorac Surg. 2010;11:376377.
  • 84
    Stout CL, Scott EC, Stokes GK, et al. Successful repair of a ruptured Stanford type B aortic dissection during pregnancy. J Vasc Surg. 2010;51:990992.
  • 85
    Yoo EH, Choi SH, Jang SY, et al. Clinical, pathological, and genetic analysis of a Korean family with thoracic aortic aneurysms and dissections carrying a novel Asp26Tyr mutation. Ann Clin Lab Sci. 2010;40:278284.
  • 86
    Akhtar MI, Samad K. Anaesthetic challenges in emergency surgical repair of acute aortic dissection rupturing into the pericardium in a pregnant patient. J Pak Med Assoc. 2011;61:8587.
  • 87
    Aziz F, Penupolu S, Alok A, et al. Peripartum acute aortic dissection: A case report and review of literature. J Thorac Dis. 2011;3:6567.
  • 88
    Guo C, Xu D, Wang C. Successful treatment for acute aortic dissection in pregnancy—Bentall procedure concomitant with cesarean section. J Cardiothorac Surg. 2011;6:139.
  • 89
    Haas S, Trepte C, Rybczynski M, et al. Type A aortic dissection during late pregnancy in a patient with Marfan syndrome. Can J Anaesth. 2011;58:10241028.
  • 90
    Hagman A, Källén K, Barrenäs ML, et al. Obstetric outcomes in women with Turner karyotype. J Clin Endocrinol Metab. 2011;96:34753482.
  • 91
    Houston L, Sullivan S. Marfan syndrome and vascular dissections during pregnancy. Minerva Ginecol. 2012;64:409419.
  • 92
    Kinney-Ham L, Nguyen HB, Steele R, et al. Acute aortic dissection in third trimester pregnancy without risk factors. West J Emerg Med. 2011;12:571574.
  • 93
    Lichtman AD, Kjaer K. Combined cesarean delivery and repair of acute ascending and aortic arch dissection at 32 weeks of pregnancy. J Cardiothorac Vasc Anesth. 2011 Dec 31.
  • 94
    Marumoto A, Nakamura Y, Harada S, et al. Acute aortic dissection at 33 weeks of gestation with fetal distress syndrome. Gen Thorac Cardiovasc Surg. 2011;59:566568.
  • 95
    Monteiro FN, Bhagavath P, Rao L, et al. Descending thoracic aortic aneurysm rupture during postpartum period. J Forensic Sci. 2011;56:10541057.
  • 96
    Putnik SM, Nikolić BD, Divac IA, et al. Aortic dissection in the second trimester of pregnancy: is it possible to save both lives? Heart Surg Forum. 2011;14:E307E308.
  • 97
    Thalmann M, Sodeck GH, Domanovits H, et al. Acute type A aortic dissection and pregnancy: a population-based study. Eur J Cardiothorac Surg. 2011;39:e159e163.
  • 98
    Vranes M, Velinovic M, Kovacevic-Kostic N, et al. Pregnancy-related aortic aneurysm and dissection in patients with Marfan's syndrome: medical and surgical management during pregnancy and after delivery. Medicina (Kaunas). 2011;47:604606.
  • 99
    Wang H, Zhuang J, Chen J, et al. Marfan's syndrome: successful term pregnancy after repair of a dissecting thoracic aortic aneurysm at 21 weeks gestation. Pak J Med Sci. 2011;27:696698.
  • 100
    Ch'ng SL, Cochrane AD, Goldstein J, et al. Stanford type A aortic dissection in pregnancy: a diagnostic and management challenge. Heart Lung Circ. 2013;22:1218.
  • 101
    Johnston C, Schroeder F, Fletcher SN, et al. Type A aortic dissection in pregnancy. Int J Obstet Anesth. 2012;21:7579.
  • 102
    Kunishige H, Ishibashi Y, Kawasaki M, et al. Surgical treatment for acute type A aortic dissection during pregnancy (16 weeks) with Loeys-Dietz syndrome. Gen Thorac Cardiovasc Surg. 2012;60:764767.
  • 103
    Master M, Day G. Acute aortic dissection in pregnancy in a woman with undiagnosed marfan syndrome. Case Rep Obstet Gynecol. 2012. doi: 10.1155/2012/490169.
  • 104
    Nonga BN, Pasquet A, Noirhomme P, et al. Successful bovine arch replacement for a type A acute aortic dissection in a pregnant woman with severe haemodynamic compromise. Interact Cardiovasc Thorac Surg. 2012;15:309310.
  • 105
    Saeki N, Taguchi S, Kawamoto M. Successful management of a patient with Marfan syndrome complicated with acute aortic dissection using landiolol during cesarean section. J Anesth. 2010;24:277279.
  • 106
    Dubey RK, Gillespie DG, Mi Z, et al. Estradiol inhibits smooth muscle cell growth in part by activating the cAMP-adenosine pathway. Hypertension. 2000;35(1 part 2):262266.
  • 107
    Aneurysm or dissection of the aorta and peripheral arteries. In: Committee on Social Security Cardiovascular Disability Criteria; Board on the Health of Select Populations; Institute of Medicine, Cardiovascular Disability: Updating the Social Security Listings. Washington, DC: National Academies Press; 2010;209–218.
  • 108
    Guo D, Hasham S, Kuang SQ, et al. Familial thoracic aortic aneurysms and dissections: genetic heterogeneity with a major locus mapping to 5q13-14. Circulation. 2001;103:24612468.
  • 109
    Armenian Medical Network. How cocaine can destroy your body. Drug and Alcohol Dependence News March 26, 2012.
  • 110
    Beroukhim RS, Kruzick TL, Taylor AL, et al. Progression of aortic dilation in children with a functionally normal bicuspid aortic valve. Am J Cardiol. 2006;98:828830.
  • 111
    Keane MG, Wiegers SE, Plappert T, et al. Bicuspid aortic valves are associated with aortic dilatation out of proportion to coexistent valvular lesions. Circulation. 2000;102(19 suppl 3):III35III39.
  • 112
    Bauer M, Gliech V, Siniawski H, et al. Configuration of the ascending aorta in patients with bicuspid and tricuspid aortic valve disease undergoing aortic valve replacement with or without reduction aortoplasty. J Heart Valve Dis. 2006;15:594600.
  • 113
    Beaton AZ, Nguyen T, Lai WW, et al. Relation of coarctation of the aorta to the occurrence of ascending aortic dilation in children and young adults with bicuspid aortic valves. Am J Cardiol. 2009;103:266270.
  • 114
    Meijboom LJ, Vos FE, Timmermans J, et al. Pregnancy and aortic root growth in the Marfan syndrome: a prospective study. Eur Heart J. 2005;26:914920.
  • 115
    No author listed. Heart disease and pregnancy: Marfan syndrome.
  • 116
    Fuster V, Andrews P. Medical treatment of the aorta. I. Cardiol Clin. 1999;17:697715, viii.
  • 117
    Takami Y, Tajima K, Kato W, et al. Can we predict the site of entry tear by computed tomography in patients with acute type A aortic dissection? Clin Cardiol. 2012;35:500504.
  • 118
    Ho HH, Cheung CW, Jim MH, et al. Type A aortic intramural hematoma: clinical features and outcomes in Chinese patients. Clin Cardiol. 2011;34:E1E5.
  • 119
    Braverman AC, Thompson RW, Sanchez LA. Diseases of the aorta. In: Bonow RO, Mann DL, Zipes DP, et al, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia, PA: Elsevier Health Sciences; 2011:13091336.
  • 120
    Tsai SH, Lin YY, Hsu CW, et al. The characteristics of acute aortic dissection among young Chinese patients: a comparison between Marfan syndrome and non–Marfan syndrome patients. Yonsei Med J. 2009;50:239244.
  • 121
    Gelpi G, Pettinari M, Lemma M, et al. Should pregnancy be considered a risk factor for aortic dissection? Two cases of acute aortic dissection following cesarean section in non-Marfan nor bicuspid aortic valve patients. J Cardiovasc Surg (Torino). 2008;49:389391.
  • 122
    Lunel A, Audra P, Plauchu H, et al. Marfan's syndrome and pregnancy. J Gynecol Obstet Biol Reprod (Paris). 2006;35:607613.
  • 123
    Buffolo E, Palma JH, Gomes WJ, et al. Successful use of deep hypothermic circulatory arrest in pregnancy. Ann Thorac Surg. 1994;58:15321534.
  • 124
    Task Force on the Management of Cardiovascular Diseases During Pregnancy of the European Society of Cardiology. Expert consensus document on management of cardiovascular diseases during pregnancy. Eur Heart J. 2003;24:761781.