Key result
Cesarean delivery followed by hemiarch aortic replacement using deep hypothermia and circulatory arrest resulted in survival without sequelae for the mother and twin babies at two years.
Case Report (n=1)
No
Successful management of acute type A aortic dissection during a twin pregnancy in a Marfan patient using cesarean delivery followed by aortic repair with deep hypothermia and circulatory arrest.
Demonstrates feasibility of cesarean then hemiarch repair with DHCA in this rare Marfan twin pregnancy; leaves open optimal strategies pending further evidence.
Type A aortic dissection is a high risk surgical emergency. Its occurrence during pregnancy represents an extremely high risk for death and sequelae for both the mother and the fetus. Surgical treatment in the form of cesarean delivery and aortic repair using hypothermia and circulatory arrest is mandatory in most patients. We report the case of a 29-year-old Marfan female with an acute type A aortic dissection at 34 weeks of a twin pregnancy. She underwent cesarean delivery of male twins followed by repair of the ascending aorta and proximal arch using deep hypothermia and circulatory arrest. The mother and twin babies survived without sequelae and are alive at two years.
No takes yet. Share an insight, caveat, or question.
Pagni et al. (2008) conducted a case report in Acute type A aortic dissection (n=1). Cesarean delivery and hemiarch aortic replacement using deep hypothermia and circulatory arrest was evaluated on Survival without sequelae. Cesarean delivery followed by hemiarch aortic replacement using deep hypothermia and circulatory arrest resulted in survival without sequelae for the mother and twin babies at two years.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: