Key result
Strict blood pressure control and multidisciplinary care safely support cesarean delivery in type B aortic dissection.
Case Report (n=2)
No
Multidisciplinary management emphasizing rigorous blood pressure control and planned cesarean delivery can result in successful outcomes for pregnancies complicated by both acute and chronic Type B aortic dissections.
Supports multidisciplinary BP control for type B dissection pregnancies; leaves open generalizability beyond case reports.
We describe 2 pregnancies complicated by descending aortic dissections. Patient 1 suffered an acute dissection at 28 weeks. Patient 2 had residual dissection after ascending dissection repair and conceived after detailed preconception counseling. Both were complicated by hypertension, managed by a multidisciplinary team, and ended uneventfully with cesarean deliveries.
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Price et al. (2023) conducted a case report in Type B Aortic Dissection in Pregnancy (n=2). Pregnancy complicated by Type B aortic dissection was evaluated on Maternal and fetal outcomes (delivery success). Pregnancies complicated by acute and chronic type B aortic dissections were safely managed to uneventful cesarean deliveries using a multidisciplinary approach and strict blood pressure control.
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