High-risk dialysis: pregnancy in a patient with extended Stanford-B-aneurysm of the aorta and end-stage renal disease. |
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| Authors: | Andre Werner Demant Alexandra Schmiedel Saila Maaria Simula Burkhard Klein Hans Ulrich Klehr Tilman Sauerbruch Rainer Peter Woitas |
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| Institution: | Medizinische Klinik und Poliklinik I, Universit?tsklinikum Bonn, Germany. andre.demant@t-online.de |
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| Abstract: | |
Introduction
| Pregnancy in women with end-stage renal disease (ESRD) undergoingdialysis treatment is uncommon but increasingly observed overthe last few years 1]. The outcome in pregnancies in dialysedwomen is greatly influenced by maternal risk factors. Duringgestation, various risks may appear including the mother's fluidoverload, hypertension, anaemia and an increased risk for fetaland perinatal complications such as neonatal mortality, prematurityand small-for-gestational-age 2,3]. Here, we report on a 40-year-oldfemale patient who developed ESRD due to an extended Stanford-B-aneurysmof the aorta 1 year prior to conception. Nonetheless, the childwas delivered successfully by caesarian section after 31 weeksof gestation.
Case
| A 39-year-old female was referred to our centre with a hypertensivecrisis, dizziness,
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| Keywords: | dialysis end-stage renal disease pregnancy Stanford-B-aneurysm |
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