Key result
Immediate elective delivery by caesarean section followed by delayed aortic root replacement 48 hours later successfully managed aortic dissection in a 19-year-old pregnant woman.
Case Report (n=1)
Delayed aortic root replacement 48 hours after caesarean delivery in a pregnant patient with aortic dissection may prevent dangerous hemorrhage from the placental site.
May support staged caesarean then delayed aortic repair to minimize hemorrhage in pregnant aortic dissection; hypothesis-generating and should not yet change practice.
Aortic dissection occurred in a nineteen year old woman during the thirty seventh week of pregnancy.Immediate elective delivery of a normal baby by caesarean section was followed by aortic root replacement 48 hours later.It was decided not to proceed immediately to operation on the aortic root because it was believed that the anticoagulation necessary for cardio- pulmonary bypass might provoke dangerous haemorrhage from the raw placental site.
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A 2020 study conducted a case report in Aortic dissection during pregnancy (n=1). Caesarean section followed by delayed aortic root replacement was evaluated. Immediate elective delivery by caesarean section followed by delayed aortic root replacement 48 hours later successfully managed aortic dissection in a 19-year-old pregnant woman.
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