Key result
Urgent cesarean section followed by the Bentall procedure successfully treated a 26-year-old pregnant woman with Marfan syndrome and type A aortic dissection, with both mother and child discharged.
Why the study?
Pregnant patients with Marfan syndrome are at high risk of aortic dissection or rupture during the third trimester and early postpartum period due to pregnancy-related hemodynamic and hormonal changes.
Population
A 26-year-old pregnant woman with MFS in the 30th gestation week presenting with type A aortic dissection
Comparison
Urgent cesarean section followed by the Bentall procedure
Design
Case report
Authors
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Supports multidisciplinary management in rare Marfan-related type A dissection during pregnancy; hypothesis-generating and should not yet change practice.
Case Report (n=1)
Multidisciplinary management involving urgent cesarean section followed by the Bentall procedure can yield successful maternal and fetal outcomes in pregnant patients with Marfan syndrome presenting with acute type A aortic dissection.
Kostadinovska et al. (2019) conducted a case report in Marfan syndrome and type A aortic dissection during pregnancy (n=1). Urgent cesarean section followed by the Bentall procedure was evaluated on Clinical outcome (discharge). Urgent cesarean section followed by the Bentall procedure successfully treated a 26-year-old pregnant woman with Marfan syndrome and type A aortic dissection, with both mother and child discharged.
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