Open Access
CC BY 4.0 · Aorta (Stamford)
DOI: 10.1055/a-2774-6679
Case Report

Management of Myosin Heavy Chain 11–Associated Familial Thoracic Aortic Aneurysm and Dissection During Pregnancy in Two Siblings

Autor*innen

  • Anthony Talea Pohahau

    1   Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, United States
  • Ishaq J. Wadiwala

    1   Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, United States
  • Lidija McGrath

    2   Knight Cardiovascular Institute, Section of Adult Congenital Heart Disease, Oregon Health and Science University, Portland, Oregon, United States
  • Amy Hermesch

    3   Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, United States
  • Sherene Shalhub

    1   Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, United States
  • Castigliano M. Bhamidipati

    4   Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, United States
  • Julie W. Doberne

    4   Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, United States

Abstract

Two pregnant siblings presented with thoracic aortic dissection during the second trimester. A pathogenic MYH11 was identified following the first sibling's diagnosis. The second sibling, previously known to be at risk but lost to follow-up, reengaged during pregnancy, tested positive for the familial variant, and dissected before her initial evaluation. This case highlights the importance of genetic diagnosis, surveillance, and multidisciplinary care in managing heritable thoracic aortic disease during pregnancy.



Publikationsverlauf

Eingereicht: 10. Mai 2025

Angenommen: 17. Dezember 2025

Artikel online veröffentlicht:
09. Januar 2026

© 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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