Key result
Operative aortic repair with concomitant or prior delivery resulted in survival for 3 pregnant patients with Marfan syndrome and acute type A aortic dissection, whereas 1 with fetus in situ died.
Why the study?
What are the outcomes of surgical repair for acute type A aortic dissection in pregnant patients with Marfan syndrome?
Population
4 pregnant patients with Marfan syndrome and acute type A aortic dissection
Design
Case_series
Authors
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May support delivery before or with repair for maternal survival in this setting; hypothesis-generating given small case series.
Observational (n=4)
No
What are the outcomes of surgical repair for acute type A aortic dissection in pregnant patients with Marfan syndrome?
Cesarean section with concomitant aortic repair is advocated for pregnant patients with Marfan syndrome and acute type A aortic dissection to optimize maternal and fetal survival.
Sakaguchi et al. (2005) conducted an observational in Acute type A aortic dissection during pregnancy in Marfan syndrome (n=4). Operative aortic repair was evaluated. Operative aortic repair with concomitant or prior delivery resulted in survival for 3 pregnant patients with Marfan syndrome and acute type A aortic dissection, whereas 1 with fetus in situ died.
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