妊娠期A型主动脉夹层研究现状及进展

Research progress of type A aortic dissection in pregnancy

妊娠期发生A型急性主动脉夹层(type A acute aortic dissection,TAAD)无论对母亲还是胎儿来说都十分危险。相关研究提示受孕是妊娠期TAAD的独立危险因素。妊娠期TAAD的临床表现是非典型的,由于死亡风险高,应及时进行计算机断层扫描、磁共振成像或经食管超声心动图等影像学检查。妊娠期TAAD的手术治疗将会面临巨大挑战。本文通过检索国内外文献总结并概述目前围绕这一独特群体患者的研究和诊疗现状。

Type A acute aortic dissection(Type A acute aortic dissection,TAAD)during pregnancy is dangerous for mothers or babies.This article studies the existing theoretical assumptions because of the unique and dangerous research and independent status quo.The clinical manifestations of TAAD at the initial stage are atypical.Due to the high risk of death,computer tomography,magnetic resonance imaging or transesophageal echocardiography should be performed in time.Therefore,clinical strategies should be adopted for different stages from pregnant to postpartum.Surgical treatment mainly revolves around whether it occurs at the same time.Various operations and circulatory leaks can directly or cause harm to certain reasons.Measures and actions taken and relevant evidence for a certain period of time proves to be very lacking.Therefore,we carefully choose various clinical practices and research in the future.