ACUTE AORTIC DISTRIBUTION IN PREGNANT WOMEN: LITERATURE REVIEW

Rossolko Dmitry S., Rukhlyada Nikolay N., Prokhorovich Tatyana I., Dzhanibekova Sherifat S., Matevosyan Irina E., Libova Tatyana A., Vorobtsova Irina N., Konovalova Marina V.

The article discusses a literature review on acute aortic dissection in pregnant women. The purpose of the study is to analyze treatment tactics for pregnant women with acute aortic dissection. The PubMed database was used to select the literature. The selection of literature was unsystematic. The following queries were used: “aortic aneurism rupture in pregnancy”, “pregnancy and cardiovascular complications” and others. The issues of using artificial blood circulation apparatus in pregnant women are considered. Acute type B aortic dissection is described. Options for aortic valve replacement are presented for pregnant women who have suffered type A aortic dissection with aortic valve damage. It was concluded that the optimal operations for childbirth and further prognosis are valve-sparing operations (variants of resuspension of the native valve), surgery for autopericardial neocuspidization of the aortic valve, replacement with human alloaortic allografts.

Keywords:aorta, pregnancy, anomaly, monotherapy, conservative tactics