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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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