AORTIC RUPTURE IN PREGNANT WOMEN WITH SYSTEMIC LUPUS ERYTHEMATOSUS

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Issue: 
10
Year: 
2017

Professor S. Mravyan (1), MD; A. Efanov (1), Candidate of Medical Sciences; E. Stepanova (2), Candidate of Medical Sciences; D. Podrez (2), Candidate of Medical Sciences 1-Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow 2-M.F. Vladimirsky Moscow Regional Clinical Research Institute, Moscow

The paper describes a case of aortic rupture in a pregnant woman with systemic lupus erythematosus occurring with a predominance of behavioral and memory problems. It points out its relatively favorable outcome and also considers prospects in the surgical treatment of even extensive aortic dissection.
Keywords: 
obstetrics and gynecology
aortic dissection
systemic lupus erythematosus
pregnancy

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References: 
  1. Özdemir B. Gebelikte aort diseksiyonu. Turkiye Klinikleri // J. Int. Med. Sci. – 2005; 1: 54–8.
  2. Kamel H., Roman M., Pitcher A. et al. Pregnancy and the Risk of Aortic Dissection or Rupture: A Cohort-Crossover Analysis // Circulation. – 2016; 134: 527–33. DOI: 10.1161/CIRCULATIONAHA.116.021594.
  3. Coulon C. Thoracic aortic aneurysms and pregnancy // Presse Med. – 2015; 44: 1126–35. DOI: 10.1016/j.lpm.2015.02.024.
  4. Srettabunjong S. Spontaneous rupture of acute ascending aortic dissection in a young pregnant woman: a sudden unexpected death // Forensic. Sci. Int. – 2013; 232 :5–8. DOI: 10.1016/j.forsciint.2013.08.005.
  5. Janion M., Sadowski J., Janion-Sadowska A. et al. Acute aortic dissection in a 34 year old pregnant woman – a case report // Kardiol. Pol. – 2006; 64: 183–8.
  6. Pánczél Z., Sára L, Tóth P. et al. Spontaneous aortic rupture during pregnancy // Orv. Hetil. – 2011; 152: 929–33. DOI: 10.1556/OH.2011.29132.
  7. Bălănescu A., Donisan T., Bălănescu D. An ever-challenging relationship: lupus and pregnancy // Reumatologia. – 2017; 55: 29–37. DOI: 10.5114/reum.2017.66685.
  8. Bundhun P., Soogund M., Huang F. Impact of systemic lupus erythematosus on maternal and fetal outcomes following pregnancy: A meta-analysis of studies published between years 2001–2016 // J. Autoimmun. – 2017; 79: 17–27. DOI: 10.1016/j.jaut.2017.02.009.
  9. Lila A.M., Trofimov E.A., Lila V.A. Sistemnaja krasnaja volchanka: osobennosti techenija u beremennyh i varianty terapii // Sovr. revmatol. – 2015; 3: 43–7.
  10. Rezk M., Ellakwa H., Al-Halaby A. et al. Predictors of poor obstetric outcome in women with systemic lupus erythematosus: a 10-year experience of a university hospital // J. Matern. Fetal Neonatal. Med. – 2016; b1–5. DOI: 10.1080/14767058.2016.1236244. [Epub. ahead of print].
  11. Ponomareva E.Ju., Rebrov A.P. Infektsionnyj endokardit v «maske» sistemnoj krasnoj volchanki // Nauchno-prakt. revmatol. – 2012; 6: 103–5.
  12. Brinkmann V., Rechard U., Goosmann C. et al. Neutrophil extracelllular traps kill bacteria // Science. – 2004; 303: 1532–5.
  13. Kessenbrock K., Krumbholz M., Schonermarck U. et al. Netting neutrophils in autoimmune small vessel vasculitis // Nature Medicine. – 2009; 15: 623–5. DOI: 10.1038/nm.1959.
  14. Hakkim A., Furnrohr B., Amann K. et al. Impairment of neutrophil extracellular trap degradation is associated with lupus nephritis // Proc. Natl. Acad. Sci. USA. – 2010; 107: 9813–8. DOI: 10.1073/pnas.0909927107.
  15. Lande R., Ganguly D., Facchinetti V. et al. Neutrophils activate plasmacytoid dendritic cells by releasing self_DNA peptide complexe in systemic lupus erythematosus // Sci. Transl. Med. – 2011; 3: 73. DOI: 10.1126/scitranslmed.3001180.
  16. Villanueva E., Yalavarthi S., Berthier C. et al. Netting neutrophils induce endothelial damage, infiltrate tissues, and expose immunostimulatory molecules in systemic lupus erythematosus // J. Immunol. – 2011; 187: 538–52. DOI: 10.4049/jimmunol.1100450.
  17. Denny M., Yalavarthi S., Zhao W. et al. A distinct subset of proinflammatory neutrophils isolated from patients with systemic lupus erythematosus induces vascular damage and synthesizes type I IFNs // J. Immunol. – 2010; 184: 3284–97. DOI: 10.4049/jimmunol.0902199.
  18. Husainova D.K., Salihov I.G., Teregulov Ju.E. i dr. Endotelial'naja disfunktsija u bol'nyh sistemnoj krasnoj volchankoj // Nauchno-prakt. revmatol. – 2005; 2: 15–9.
  19. Rajagopalan S., Somers E., Brook R. et al. Endothelial cell apoptosis in systemic lupus erythematosus: a common pathway for abnormal vascular function and thrombosis propensity // Blood. – 2004; 103: 3677–83.
  20. Sternlicht M., Werb Z. How matrix metalloproteinases regulate cell behavior // Annu Rev. Cell Dev. Biol. – 2001; 17: 463–516.
  21. Faber-Elmann A., Sthoeger Z., Tcherniack A. et al. Activity of matrix metalloproteinase-9 is elevated in sera of patients with systemic lupus erythematosus // Clin. Exp. Immunol. – 2002; 127: 393–8.
  22. El-Magadmi M., Bodill H., Ahmad H. et al. Systemic lupus erythematosus: an independent risk factor for endothelial dysfunction in women // Circulation. – 2004; 110: 339–404.
  23. Nishimoto A., Haraguchi S., Kishi T. et al. Sase of systemic lupus erythematosus patient who died of rupture of abdominal aortic aneurysm // Nihon Jinzo Gakkai Shi. – 2003; 45: 701–5.
  24. Sato J., Kawakami T., Nakabayashi K. et al. Multiple aortic aneurysms complicated by a rupture in the systemic lupus erythematosus: a case report // Pathol. Res. Pract. – 2008; 204: 845–50. DOI: 10.1016/j.prp.2008.05.009.
  25. Abe S., Ooyasu T., Itou M. et al. Ruptured descending aortic aneurysm in a young woman with systemic lupus erythematosus // Kyobu Geka. – 2010; 63: 565–7.
  26. Wei H., Chung H., Wu C. et al. Aortic dissection complicated with hemothorax in an adolescent patient with systemic lupus erythematosus: case report and review of literature // Semin. Arthritis Rheum. – 2011; 41: 12–8. DOI: 10.1016/j.semarthrit.2010.08.002.
  27. Rached-d'Astous S., Dahdah N., Brochu P. et al. Rapidly progressive aortic aneurysmal dilation in a child with systemic lupus erythematosus: too early too severe // BMJ Case Rep. – 2014; DOI: 10.1136/bcr-2013-201014.
  28. Ohara N., Miyata T., Kurata A. et al. Ten years' experience of aortic aneurysm associated with systemic lupus erythematosus // Eur. J. Vasc. Endovasc. Surg. – 2000; 19: 288–93.
  29. Liu S., Alkema P., Tieche C. et al. Negative regulation of monocyte adhesion to arterial elastic laminae by signal-regulatory protein alpha and SH2 domain-containing protein tyrosine phosphatase-1 // J. Biol. Chem. – 2005; 280: 39294–301.
  30. Kurata A., Kawakami T., Sato J. et al. Aortic aneurysms in systemic lupus erythematosus: a meta-analysis of 35 cases in the literature and two different pathogeneses // Cardiovasc. Pathol. – 2011; 20: 1–7. DOI: 10.1016/j.carpath.2010.01.003.
  31. Burke A., Tavora F., Narula N. et al. Aortitis and ascending aortic aneurysm: description of 52 cases and proposal of a histologic classification // Hum. Pathol. – 2008; 39: 514–26. DOI: 10.1016/j.humpath.2007.08.018.
  32. He R., Guo D., Estrera A. et al. Characterization of the inflammatory and apoptotic cells in the aortas of patients with ascending thoracic aortic aneurysms and dissections // J. Thorac. Cardiovasc. Surg. – 2006; 131: 671–8.
  33. Vahitov D., Suominen V., Korhoninen Dzh. i dr. Endovaskuljarnoe lechenie bol'nogo s mikoticheskimi anevrizmami brjushnoj aorty i nizhnej bryzheechnoj arterii // Angiologija i sosudistaja hirurgija. – 2016; 1: 83–5.
  34. McMahon M., Skaggs B. Pathogenesis and treatment of atherosclerosis in lupus // Rheum. Dis. Clin. North Am. – 2014; 40 (3): 475–95.
  35. Reynaud Q., Lega J.-C., Mismetti P. et al. Risk of venous and arterial thrombosis according to type of antiphospholipid antibodies in adults without systemic lupus erythematosus: a systematic review and meta-analysis // Autoimmun. Rev. – 2014; 13: 595–608.
  36. Bossone E., Pyeritz R., Braverman A. et al. Shock complicating type A acute aortic dissection: Clinical correlates, management, and outcomes // Am. Heart J. – 2016; 176: 93–9. DOI: 10.1016/j.ahj.2016.02.019.
  37. Rajagopalan S., Nwazota N., Chandrasekhar S. Outcomes in pregnant women with acute aortic dissections: a review of the literature from 2003 to 2013 // Int. J. Obstet. Anesth. – 2014; 23: 348–56. DOI: 10.1016/j.ijoa.2014.05.001.
  38. Park S., Hutchison S., Mehta R. et al. Association of painless acute aortic dissection with increased mortality // Mayo Clin. Proc. – 2004; 79: 1252–7.
  39. Bossone E., Corteville D., Harris K. et al. Stroke and outcomes in patients with acute type A aortic dissection // Circulation. – 2013; 128 (11 Suppl. 1): 175–9. DOI: 10.1161/circulationaha.112.000327.
  40. Gaul C., Dietrich W., Friedrich I. et al. Neurological symptoms in type A aortic dissections // Stroke. – 2007; 38: 292–7.
  41. Ohara T., Koga M., Tokuda N. et al. Rapid Identification of Type A Aortic Dissection as a Cause of Acute Ischemic Stroke // J. Stroke Cerebrovasc. Dis. – 2016; 25: 1901–6. DOI: 10.1016/j.jstrokecerebrovasdis.2016.04.005.
  42. Walma R., Vermeij F., Bakker S. Neurological signs in aortic dissection // Ned. Tijdschr. Geneeskd. – 2013; 157: A6259.
  43. Witsch T., Stephan A., Hederer P. et al. Aortic Dissection Presenting as «Hysteria» // J. Emerg. Med. – 2015; 49: 627–9. DOI: 10.1016/j.jemermed.2015.05.039.
  44. Lawal O., Dhindsa H., Loyd J. A patient with altered mental status and possible seizure reveals an atypical aortic dissection upon workup // Am. J. Emerg. Med. – 2014; 32: 488.e1-2. DOI: 10.1016/j.ajem.2013.11.010.
  45. Gaul C., Dietrich W., Tomandl B. et al. Aortic dissection presenting with transient global amnesia-like symptoms // Neurology. – 2004; 63: 2442–3.
  46. Hagan P., Nienaber C., Isselbacher E. et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease // JAMA. – 2000; 283: 897–903.
  47. Gaul C., Dietrich W., Erbguth F. Neurological symptoms in aortic dissection: a challenge for neurologists // Cerebrovasc. Dis. – 2008; 26: 1–8. DOI: 10.1159/000135646.