Evidence map›Paper›PMID 41043907›Full record

ArticleJACC. Case reports2025

Pregnant Patient With Infrarenal Abdominal Aortic Aneurysm Successfully Treated With EVAR.

Tomomi Ueda, Hiroki Yagi, Nana Akiyama, Naoya Akiba, Katsuyuki Hoshina, Hiroshi Akazawa, Norifumi Takeda, Norihiko Takeda

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Best of 2025-abdominal aortic and iliac aneurysm.Journal of vascular surgery cases and innovative techniques · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tomomi UedaDepartment of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyō, Japan.
Hiroki YagiDepartment of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyō, Japan; Marfan Syndrome Center, The University of Tokyo Hospital, Bunkyō, Japan. Electronic address: hiroki_yagi_19830414@yahoo.co.jp.
Nana AkiyamaMarfan Syndrome Center, The University of Tokyo Hospital, Bunkyō, Japan; Department of Genomic Medicine, The University of Tokyo Hospital, Bunkyō, Japan.
Naoya AkibaDepartment of Obstetrics and Gynecology, The University of Tokyo Hospital, Bunkyō, Japan.
Katsuyuki HoshinaDepartment of Vascular Surgery, The University of Tokyo Hospital, Bunkyō, Japan.
Hiroshi AkazawaDepartment of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyō, Japan.
Norifumi TakedaDepartment of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyō, Japan; Marfan Syndrome Center, The University of Tokyo Hospital, Bunkyō, Japan; The Institute of Medical Science, The University of Tokyo, Minato, Japan.
Norihiko TakedaDepartment of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyō, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy management in patients with a history of untreated aortic aneurysm or dissection is not established. CLINICAL CONDITION: A patient with a chronic infrarenal abdominal aortic aneurysm and dissection was referred to our hospital at 13 weeks' gestation. KEY QUESTIONS: What are the treatment options for infrarenal abdominal aortic aneurysm with dissection in a pregnant patient? What tests are needed for treatment strategy? What are the safety considerations when performing endovascular aneurysm repair (EVAR) during pregnancy? OUTCOME: Genetic testing for established hereditary aortopathy genes was negative. After carvedilol treatment, EVAR was performed under ultrasound guidance with minimal radiation exposure at 19 weeks' gestation, allowing for adequate fetal growth. She had an uncomplicated vaginal delivery under epidural anesthesia at 39 weeks' gestation. TAKE-HOME MESSAGES: EVAR could be an effective treatment option during pregnancy if radiation exposure is properly minimized. Multidisciplinary collaboration, including early evaluation for connective tissue diseases, is essential to evaluate treatment strategy.

Indexed as

aortic aneurysm and dissectionendovascular aneurysm repairgenetic testingpregnancy

Identifiers

PMID41043907
PMCPMC12540274

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.