Key result
Emergency cesarean followed by immediate aortic dissection repair achieves maternal and infant survival.
Why the study?
Acute aortic dissection during pregnancy associated with severe hypertension requires careful management to balance maternal hemodynamic stability and fetal safety, but reports on anesthesia and surgical treatment strategies are limited.
Case Report (n=1)
No
Demonstrates that continuous emergency cesarean section and subsequent aortic repair under general anesthesia can be successfully performed in a pregnant patient with acute type A aortic dissection.
Supports feasibility of combined cesarean-aortic repair in term type A dissection; leaves open optimal protocols pending larger series.
Acute aortic dissection can occur in pregnancy in association with severe hypertension due to preeclampsia, coarctation of the aorta, or connective tissue diseases such as Marfan syndrome.The aims of anesthesia are to minimize fetal exposure to cardiopulmonary depressant drugs prior to delivery while ensuring a well-controlled hemodynamic environment for the mother.We encountered a case of a 31-year-old pregnant woman (gestational age 38 weeks) with preeclampsia, gestational DM, and acute aortic dissection (Stanford type A, DeBakey type II).The patient successfully underwent an emergency cesarean section and the subsequent repair of the aortic dissection under general anesthesia.We report this experience with a brief review of the relevant literature.(Korean J Anesthesiol 2006; 50: 337∼40)
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Kim et al. (2006) conducted a case report in Acute aortic dissection with pregnancy-induced hypertension (n=1). Emergency cesarean section immediately followed by operative repair of aortic dissection under general anesthesia was evaluated on Maternal and fetal survival and surgical success. The patient successfully underwent an emergency cesarean section and subsequent repair of the acute aortic dissection under general anesthesia, with survival of both the mother and the infant.
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