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January 1, 2000Japanese Circulation Journal-english EditionOpen Access

Surgical Treatment for Acute Type A Aortic Dissection in Pregnancy

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Population

A 25-year-old woman with Marfan syndrome in the 37th week of pregnancy presenting with acute chest pain…

Design

Case_report

Authors

HAHidetoshi AkashiKTKeiichiro TayamaTFTakayuki Fujino

Discussion

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Overview

Supports feasibility of combined cesarean-aortic surgery in pregnant Marfan patients with type A dissection; hypothesis-generating and requires confirmation before practice change.

Key Points

  • To describe the surgical management and timing of acute type A aortic dissection in a pregnant patient with Marfan syndrome.
  • Report of a 25-year-old woman at 37 weeks of gestation with Marfan syndrome presenting with acute chest pain and dyspnea.
  • Emergency Cesarean section was performed due to fetal distress, with aortic root dilatation and ascending aortic dissection identified via intraoperative echocardiography.
  • Staged surgical replacement of the aortic root and ascending aorta was conducted on the following day after managing uterine bleeding.
  • Intraoperative echocardiography confirmed ascending aortic dissection and aortic root dilatation immediately following delivery.
  • Aortic root and ascending aorta replacement was successfully executed on postoperative day one.
  • Both mother and infant achieved an uneventful postoperative recovery.

Structured PICO

P
Population
A 25-year-old woman with Marfan syndrome in the 37th week of pregnancy presenting with acute chest pain, dyspnea, and acute type A aortic dissection (n=1).
I
Intervention
Emergency Cesarean section followed by replacement of the aortic root and the ascending aorta.
O
Outcome
Maternal and fetal postoperative clinical course.hard clinical

Emergency Cesarean section followed by aortic root and ascending aorta replacement can be successfully performed in pregnant patients with Marfan syndrome presenting with acute type A aortic dissection.

Cite This Study

Akashi et al. (2000) studied this question.

synapsesocial.com/papers/6a7cc1fe80d29ce2cbfaba04https://doi.org/10.1253/jcj.64.729
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Also Consider

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

  1. 1Emergency ascending aortic replacement for acute type a aortic dissection in a 31-week pregnant patient with Marfan syndrome2026
  2. 2Surgery for acute type A aortic dissection in pregnant patients with Marfan syndrome2005 · 69 citations
  3. 3Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation2019 · 5 citations
  4. 4Two Surgical Cases of Acute Aortic Dissection in Pregnancy with Marfan Syndrome2007 · 21 citations
  5. 5Bentall Procedure to Repair Acute Type a Aortic Dissection in Pregnant Marfan Syndrome Woman With Preservation of Pregnancy2023 · 1 citations