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Management of Worsening Aortic Dilation and Insufficiency in a 20-Week Pregnant Woman: A Case Report

机译:一名20周孕妇的主动脉扩张和供血不足的处理:一例报告

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Preexisting aortic disease can worsen during pregnancy as physiologic hemodynamic changes evolve. At a large academic institution, a patient with a remote history of vasculitis presented with a second trimester pregnancy with increasing aortic dilatation and aortic insufficiency. Extensive obstetric discussions encompassed maternal cardiac risks from continuing the pregnancy and fetal risks from maternal cardiac intervention. This patient desired termination of pregnancy to avoid further complications and to expedite surgical aortic repair.
机译:随着生理血液动力学变化的发展,先前存在的主动脉疾病可能在妊娠期间恶化。在一个大型的学术机构中,一名患有血管炎的病史较轻的患者出现了妊娠中期,主动脉扩张和主动脉瓣关闭不全。广泛的产科讨论包括继续妊娠的母亲心脏风险和母亲心脏干预引起的胎儿风险。该患者希望终止妊娠,以避免进一步的并发症并加快主动脉手术的修复。

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