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February 11, 2026BMC Pregnancy and ChildbirthOpen Access

Management strategies for acute type A aortic dissection during pregnancy: a single-center retrospective experience

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Why the study?

Acute type A aortic dissection is very rare and devastating during pregnancy, and established management guidelines are lacking.

Does surgical repair provide favorable maternal and fetal outcomes in pregnant patients with acute type A aortic dissection?

Population

12 pregnant patients with acute type A aortic dissection managed surgically

Design

Single-center retrospective study

Follow-up

1-year

Authors

YXYu XuYXYuhao XiaZBZi-Ming Bai

Discussion

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Overview

Case series suggests feasible maternal-fetal survival after repair; leaves open need for controlled data before broader adoption.

Structured PICO

Does surgical repair provide favorable maternal and fetal outcomes in pregnant patients with acute type A aortic dissection?

P
Population
12 pregnant patients with acute type A aortic dissection (ATAAD) confirmed by CTA, mean age 30.83 years.
I
Intervention
Surgical repair (Bentall procedure, isolated Sun's procedure, or combined Sun's procedure and CABG)
O
Outcome
In-hospital mortality and fetal deathshard clinical

Timely surgical repair by a multidisciplinary team is a feasible strategy for pregnant patients with acute type A aortic dissection, yielding acceptable maternal and fetal outcomes.

Cite This Study

Xu et al. (2026) studied this question.

synapsesocial.com/papers/6a76d5ff0c6965f1a01e72dbhttps://doi.org/10.1186/s12884-026-08803-0
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic dissection during pregnancy and postpartum in patients with Marfan syndrome: a 21-year clinical experience in 30 patients2020 · 37 citations
  2. 2Acute type A aortic dissection and pregnancy: a population-based study2011 · 103 citations
  3. 3TEVAR for acute type B aortic dissection in pregnant women (35 weeks gestation) with Takayasu's arteritis after cesarean section: a rare case report and literature review2025 · 1 citations
  4. 4Acute aortic dissection in a patient with Marfan syndrome during advanced pregnancy2019 · 6 citations
  5. 5Prevalence, trends, and outcomes of cardiovascular diseases in pregnant patients in the USA: 2010–192022 · 56 citations