Concurrent cesarean delivery and aortic repair were successfully performed in a pregnant patient with Marfan syndrome, sickle cell trait, and acute Type A aortic dissection.
Case Report (n=1)
Demonstrates successful multidisciplinary management and cardiopulmonary bypass optimization for concurrent cesarean delivery and Type A aortic dissection repair in a high-risk pregnant patient with Marfan syndrome and sickle cell trait.
We present a 23‐year‐old at 35 weeks’ gestation with Marfan syndrome (MFS) and sickle cell trait (SCT) with acute Type A aortic dissection (TAAD) requiring concurrent cesarean delivery and aortic repair. Delivery, hemi‐arch aortic replacement, and coronary reconstruction were successfully performed. Despite intraoperative complexity and postoperative complications, the patient was managed with fewer ischemic complications compared to previous cases of coincident SCT and aortic repair. This case demonstrates critical principles for managing cardiothoracic emergencies in pregnancy with high‐risk conditions. It emphasizes multidisciplinary care and cardiopulmonary bypass (CPB) techniques for optimization of SCT and maternal‐fetal outcomes in aortopathies.
Scheffel et al. (Thu,) conducted a case report in Acute Type A aortic dissection in pregnancy with Marfan syndrome and sickle cell trait (n=1). Concurrent cesarean delivery and aortic repair was evaluated on Procedural success and ischemic complications. Concurrent cesarean delivery and aortic repair were successfully performed in a pregnant patient with Marfan syndrome, sickle cell trait, and acute Type A aortic dissection.