Özet:

Aortic dissection is a rare vascular disease with high mortality rates, usually associated with hypertensive and connective tissue diseases. Pregnancy is also a risk factor for aortic dissection and its treatment is emergent surgery. Aortic dissection is rare during pregnancy and, if left untreated, it may result in death of patient. However, there is not enough data in the literature regarding the pregnancy follow-up of patients who underwent aortic dissection before pregnancy and became pregnant afterwards. In this study, it is presented that a patient with a history of supracoronary and hemiarc aortic synthetic graft replacement after Type A aortic dissection and during her 15 weeks of gestation, thorax computed tomography (CT) showed that 60x56mm fusiform aneurysmatic dilatation at the annulus level in the ascending aorta, and a distinct fusiform aneurysm with a size of 55mm at proximal section, 68mm at medial section and 45mm at distal section in the descending aorta. The patient also has a history of epilepsy and asthma. Due to the current medical condition and comorbidities, high risk pregnancy was reported to the patient with the decision of a council including cardiology, cardiovascular surgery and perinatology. When the patient requested termination, 400 mcg of vaginal prostaglandin E1 was administered at 3-hours intervals. However, the abortion did not occur after 12 hours, the cervical balloon was placed and then bumm-curettage was applied after the rest placenta remained.

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