Journal
ANNALS OF THORACIC SURGERY
Volume 76, Issue 1, Pages 309-314Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/S0003-4975(03)00169-3
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Aortic dissection during pregnancy is a life-threatening event. Recent studies have revealed similar histologic changes in the wall of the ascending aorta in patients with bicuspid aortic valve disease (BAVD). Based on a review of the literature, including the experience from two institutions, we looked at the patient's characteristics in patients with thoracic aortic dissection during pregnancy. We found that aortic root enlargement (> 4cm) or an increase of aortic root size during pregnancy in patients with BAVD, and Marfan syndrome is associated with a considerable risk for the occurrence of Type A dissection. (C) 2003 by The Society of Thoracic Surgeons.
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