Key result
Surgical replacement of the aortic valve and ascending aorta in a pregnant Marfan patient with acute type A dissection at 7 weeks gestation resulted in the successful delivery of a healthy baby.
Why the study?
Does surgical repair of acute type A aortic dissection using circulatory arrest and deep hypothermia in the first trimester of pregnancy result in favorable maternal and fetal outcomes?
Population
34-year-old Marfan patient at the seventh week of pregnancy presenting with acute type A aortic dissection…
Design
Case_report
Follow-up
Up to 35 weeks of gestation
Authors
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Supports considering aortic repair in first-trimester type A dissection; leaves open generalizability from this single case.
Case Report (n=1)
Does surgical repair of acute type A aortic dissection using circulatory arrest and deep hypothermia in the first trimester of pregnancy result in favorable maternal and fetal outcomes?
This case demonstrates that surgical repair of acute type A aortic dissection using deep hypothermia and circulatory arrest during the first trimester of pregnancy can result in favorable maternal and fetal outcomes.
Shaker et al. (2008) conducted a case report in Acute type A aortic dissection and severe aortic regurgitation in a pregnant Marfan patient (n=1). Aortic valve and ascending aorta replacement using circulatory arrest and deep hypothermia was evaluated on Fetal and maternal outcome. Surgical replacement of the aortic valve and ascending aorta in a pregnant Marfan patient with acute type A dissection at 7 weeks gestation resulted in the successful delivery of a healthy baby.
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