Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 17, 2025Frontiers in Cardiovascular MedicineOpen Access

TEVAR for acute type B aortic dissection in pregnant women (35 weeks gestation) with Takayasu's arteritis after cesarean section: a rare case report and literature review

View Full Paper
Ask AI
Bookmark
Share

Key result

Cesarean section followed by thoracic endovascular aortic repair (TEVAR) successfully treated acute type B aortic dissection in a pregnant woman with Takayasu's arteritis, resulting in maternal and fetal survival.

Why the study?

Type B aortic dissection in pregnant women with Takayasu's arteritis is very rare and complicated, requiring multidisciplinary planning to determine the timing and method of operation to save mother and fetus.

Does sequential cesarean section and TEVAR improve maternal and fetal survival in a pregnant woman with acute type B aortic dissection and Takayasu's arteritis?

Comparison

Cesarean section followed by TEVAR 8 hours later

Design

Case report and literature review

Follow-up

One year

Authors

TBTaiyu BiJilin UniversityYYYipeng YinJilin University

Discussion

Loading...

Member takes

Overview

Clinicians should consider TA in pregnant patients with TBAD; this case leaves open optimal management strategies.

Study Design

Type

Case Report (n=1)

Structured PICO

Does sequential cesarean section and TEVAR improve maternal and fetal survival in a pregnant woman with acute type B aortic dissection and Takayasu's arteritis?

P
Population
A 29-year-old pregnant woman at 35 weeks gestation with Takayasu's arteritis who developed acute type B aortic dissection and was followed for 1 year.
I
Intervention
Cesarean section under general anesthesia followed 8 hours later by Thoracic Endovascular Aortic Repair (TEVAR) under anesthesia, along with medical therapy including urapidil for blood pressure control and steroids (methylprednisolone/prednisone) for Takayasu's arteritis.
O
Outcome
Maternal and fetal survival and clinical stability at 1-year follow-up.hard clinical

Sequential cesarean section followed by TEVAR is a viable and life-saving strategy for acute type B aortic dissection in late pregnancy complicated by Takayasu's arteritis.

Limitations

  • Single case report limits generalizability
  • Rare clinical scenario

Cite This Study

Bi et al. (2025) conducted a case report in Acute type B aortic dissection in pregnancy with Takayasu's arteritis (n=1). Cesarean section followed by Thoracic Endovascular Aortic Repair (TEVAR) was evaluated on Maternal and fetal survival. Cesarean section followed by thoracic endovascular aortic repair (TEVAR) successfully treated acute type B aortic dissection in a pregnant woman with Takayasu's arteritis, resulting in maternal and fetal survival.

synapsesocial.com/papers/6a98bfb724d3faa49b7487b2https://doi.org/10.3389/fcvm.2024.1498914
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anaesthesia for Caesarean Delivery in a Pregnant with Acute Type B Aortic Dissection2013 · 5 citations
  2. 2Outcomes of acute type A aortic dissection repair during pregnancy2022 · 7 citations
  3. 3Aortic dissection during pregnancy — obstetric perspective2019 · 13 citations
  4. 4Treatment of patients with aortic disease during pregnancy and after delivery2017 · 13 citations
  5. 5Aortic dissection in pregnancy and the postpartum period2022 · 26 citations