Artery Aneurysm Rupture In Pregnancy Research Articles

Antepartum cerebral angiopathy presenting as middle cerebral artery aneurysm rupture – A rare case report from India

The incidence of middle cerebral artery aneurysm rupture in pregnancy is rare. Rupture of an intracranial aneurysm is the most common cause of subarachnoid hemorrhage in pregnancy and during puerperium. Intracranial aneurysm rupture during pregnancy is disastrous for the mother as well as the fetus. We report a case of a dissecting left middle cerebral artery aneurysm in a 25-year-old woman, G2P1L1, at 18 weeks of gestation, who presented with a 1-day history of giddiness, slurring of speech, and facial deviation to the left.

Splenic Artery Aneurysm Rupture in Pregnancy [6K

INTRODUCTION: Splenic artery aneurysm (SAA) is the third most common intraabdominal aneurysm. Splenic artery aneurysm rupture is a rare, but life-threatening complication of pregnancy. We present a case of splenic artery aneurysm rupture in labor where prompt diagnosis with multidisciplinary intervention resulted in a favorable maternal and fetal outcome. METHODS: A 24-year-old woman, gravida 1 para 0 at 39 weeks of gestation presented to labor and delivery unit for a scheduled induction of labor for gestational hypertension. During the course of induction of labor, patient had an abrupt onset of nausea and chills associated with hypotension and tachycardia. Fetal heart rate deceleration was noted and the patient was taken for a stat cesarean section due to persistent fetal bradycardia and worsening maternal clinical status. RESULTS: Intraoperatively significant hemoperitoneum was noted with no evidence of uterine rupture. Further abdominal exploration by the surgical team revealed a splenic artery aneurysm rupture. Patient underwent a splenectomy and splenic artery ligation. The patient was stabilized and transferred to the intensive care unit for further monitoring. CONCLUSION: Splenic artery aneurysm rupture is associated with a very high maternal and fetal mortality of 75% and 95% respectively. The prevalence of splenic artery aneurysm is noted to be 0.1–0.2% in general population from autopsy studies. The changes associated with pregnancy increase the risk of formation and rupture of the aneurysm. Symptoms are nonspecific and the diagnosis is often times made during laparotomy. Prompt diagnosis and a concerted team effort is essential as in this case for maternal and fetal survival.

Splenic Artery Aneurysm Rupture

Splenic artery aneurysm (SAA) is the most common (60%) of all visceral artery aneurysms. The majority of these cases are asymptomatic, but the presentation of their rupture can vary from abdominal/chest pain to cardiovascular collapse (Sadat U, Dar O, Walsh S, Varty K. Splenic artery aneurysms in pregnancy-a systematic review. Int J Surg. 2008;6(3):261-265.). Although rare, the mortality associated with the rupture is as high as 25% (De Vries JE, Schattenkerk ME, Malt RA. Complications of splenic artery aneurysm other than intraperitoneal rupture. Surgery. 1982;91(2):200-204; Caillouette JC, Merchant EB: Ruptured splenic artery aneurysm in pregnancy. Twelfth reported case with maternal and fetal survival. Am J Obstet Gynecol 1993;168(6 Pt 1):1810-1811) and increases to 75% among pregnant women with a concomitant fetal mortality of 95% (O'Grady JP, Day EJ, Toole AL, et al. Splenic artery aneurysm rupture in pregnancy. A review and case report. Obstet Gynecol. 1977; 50(5):627-630). Because of such high maternal and fetal mortality prompt management of SAAs is of utmost importance. We are presenting a case of a 35-year-old woman with a missed ruptured SAA who after an emergent cesarean section went into profound shock and was unable to be resuscitated. This case illustrates the importance of considering the diagnosis of SAA rupture in hemodynamically unstable peripartum females.

Splenic artery aneurysm rupture in pregnancy

A multigravid patient was admitted at 34 weeks with abdominal pain, signs of hypovolaemia and an intrauterine death. Ultrasonography and paracentesis revealed bleeding into the peritoneal cavity. The diagnosis of splenic artery aneurysm rupture was considered. Energetic resuscitation and a multidisciplinary approach to surgery allowed a sacular splenic artery aneurysm to be tied off with preservation of both the spleen and the mother's life.

Uterine artery aneurysm rupture in pregnancy

(1994). Uterine artery aneurysm rupture in pregnancy. Journal of Obstetrics and Gynaecology: Vol. 14, No. 3, pp. 165-165.