Key result
David operation successfully repairs undiagnosed type A aortic dissection during labor in a Marfan syndrome patient.
Why the study?
Type A aortic dissection carries high morbidity and mortality without surgery, but few cases during pregnancy are described in the literature.
Population
A 22-year-old pregnant woman with Marfan syndrome, ascending aorta dilation, and BAV
Design
Case report
Authors
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Alerts clinicians to peripartum aortic risks in Marfan syndrome; leaves open optimal monitoring protocols.
Case Report (n=1)
Highlights the critical need for close clinical and echocardiographic monitoring in pregnant women with Marfan's syndrome and bicuspid aortic valve to prevent missed aortic dissection.
Masiello et al. (2020) conducted a case report in Type A aortic dissection in pregnancy (n=1). David operation with replacement of the aortic arch and supra-aortic vessels was evaluated on Clinical outcome. A 22-year-old pregnant woman with Marfan's syndrome and bicuspid aortic valve successfully underwent a David operation for an undiagnosed type A aortic dissection that occurred during labor.
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