Demonstrates the feasibility of ascending aorta replacement during pregnancy in a patient with Marfan's syndrome with successful maternal and fetal outcomes.
May support individualized surgical decisions in select pregnant Marfan patients; leaves open optimal timing and generalizability.
Marfan's syndrome in a pregnant woman appears to be particularly hazardous because of the increased risk of aortic rupture. The first reported case report of replacement of the ascending aorta in a pregnant woman with a successful outcome for mother and fetus is presented. The literature is reviewed with regard to Marfan's syndrome and pregnancy as well as to open heart surgery during pregnancy.
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Smith et al. (1989) studied this question.
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