A Case of Emergent Cesarean Delivery followed by Graft Replacement of Hemiaortic Arch in a Patient with Ruptured Thoracic Aortic Aneurysm.

Choi, Chel Hun; Kim, Young Ah; Seo, Yong Soo; Choi, Seong Jin; Yang, Soon Ha; Kim, Jong Hwa

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(9):1813-1817.
Published online September 1, 2003.

A Case of Emergent Cesarean Delivery followed by Graft Replacement of Hemiaortic Arch in a Patient with Ruptured Thoracic Aortic Aneurysm.

Chel Hun Choi, Young Ah Kim, Yong Soo Seo, Seong Jin Choi, Soon Ha Yang, Jong Hwa Kim

¹Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea.
²Department of Obstetrics and Gynecology, Yonsei University, Wonju College of Medicine, Wonju, Kangwon-do, Korea.

Abstract

Aortic aneurysms are extremely uncommon in women under age 40 and are rarely encountered by obstetricians. Various physiologic changes of pregnancy appear to make pregnancy a risky situation of rupture of an aortic aneurysm and pregnancy is discouraged in women with an aortic aneurysm. Development of pregnancy induced hypertension in women with an aortic aneurysm is a profound problem and their treatment is not established. We report a case of emergent cesarean delivery followed by aortic aneurysm replacement surgery in a patient with thoracic aortic aneurysm which was accompanied by pregnancy induced hypertension.

Key Words: Thoracic aortic aneurysm, Pregnancy, Pregnancy induced hypertension

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