Key result
Ascending aorta and arch replacement with elephant trunk implantation during cesarean section successfully treated acute type A aortic dissection with favorable maternal and fetal outcomes.
Combined extensive aortic replacement and cesarean section can be successfully performed with favorable outcomes in late gestation patients presenting with acute type A aortic dissection.
May support feasibility in select late-gestation cases; leaves open need for prospective data before broader adoption.
This case report describes a woman at 35 weeks gestation, who presented with an acute type A aortic dissection involving the total aortic arch and descending aorta. She underwent a successful ascending aorta replacement, total arch replacement, and stented elephant trunk implantation at the time of cesarean section with favorable maternal and fetal outcomes.
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Liu et al. (2012) studied this question. Ascending aorta and arch replacement with elephant trunk implantation during cesarean section successfully treated acute type A aortic dissection with favorable maternal and fetal outcomes.
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