Key result
Emergent cesarean section followed by aortic repair successfully saved the life of a 25-year-old pregnant woman with acute aortic dissection and her baby, with no complications at 1-year follow-up.
Why the study?
Acute aortic dissection in pregnancy is a rare, fatal event where standard CT angiography may delay intervention and harm the mother and fetus.
Case Report (n=1)
No
Prompt echocardiography-guided diagnosis and surgical intervention can successfully save both mother and fetus in cases of acute aortic dissection during the third trimester of pregnancy.
Supports feasibility of combined cesarean-aortic repair in third-trimester dissection; leaves open generalizability and optimal protocols.
Acute aortic dissection is a rare but fatal event in pregnancy with a reported incidence of 14% of all cardiac-related maternal mortality.Saving a mother and her baby together in an emergent situation which needs proper decision-making and good teamwork.On the other hand, using standard diagnostic tools such as computed tomography (CT) angiography may not be a good decision as it postpones necessary intervention and causes encounter of the mother and her fetus to a more harmful situation.Here we present a 25-year-old pregnant woman with acute aortic dissection who was diagnosed by echocardiography data.On-time surgical intervention saved a mother and her baby's life.One-year follow-up showed no complication.
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Shariati et al. (2022) conducted a case report in Acute Aortic Dissection (n=1). Emergent cesarean section followed by aortic repair was evaluated on Survival and clinical recovery. Emergent cesarean section followed by aortic repair successfully saved the life of a 25-year-old pregnant woman with acute aortic dissection and her baby, with no complications at 1-year follow-up.
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