Does performing cesarean section before aortic repair result in safe outcomes for pregnant patients with acute type A aortic dissection and their fetuses?
Cesarean section followed by aortic repair for acute type A aortic dissection in the third trimester appears safe and effective for both mother and fetus.
OBJECTIVE: To evaluate the efficacy and safety of performing cesarean section surgery before aortic repair after acute type A aortic dissection (ATAAD) during pregnancy. METHODS: A total of six patients who received ATAAD repair during their pregnancies were retrospectively identified in the hospital database from January 2002 to December 2021. RESULTS: The mean gestational period at the time of aortic repair was 35.3 ± 2.7 weeks, and the aortic root diameter ranged from 40 to 60 mm. The mean time from disease onset to arrival at the operation room was 20.3 ± 10.8 h (range 10-36 h). All patients successfully received aortic repair operations following cesarean section and survived the peri-surgery period without developing major complications. All fetuses were successfully delivered. After an average follow up of 25.8 months, all patients and their children had survived without developing major complications except for one mother who committed suicide 6 months after discharge as a result of postpartum depression. CONCLUSION: The present study suggested that ATAAD repair can be safely performed in the third-trimester.
Wang et al. (Fri,) studied this question.
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