Abstract

Pregnancy related vascular emergencies are associated with an increased risk of morbidity and mortality to the mother and foetus. Over 50% of ruptured arterial aneurysms in women under the age of 40 are pregnancy related, with maternal mortality ranging from 40 to 100%. Rupture of cerebral artery aneurysms during pregnancy accounts for 12 to 80% of all maternal deaths. 3 Splenic artery aneurysms recognised during pregnancy, even if asymptomatic, are a serious threat to the survival of the mother and foetus. Nearly 20% of splenic artery aneurysm ruptures occur during pregnancy, with maternal mortality approaching 70% and foetal mortality exceeding 75%. 4'5 Various physiological changes, hormonal and haemodynamic, appear to predispose a pregnant woman to vascular complications, especially during the third trimester) -5 Since some of these rare lesions can be corrected, either before or during pregnanc~ earlier detection can save the life of the mother and foetus.

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