Key result
Caesarean section before acute type A dissection repair achieves maternal and fetal survival in one case.
Why the study?
Aortic dissection is rare in pregnancy but often life-threatening, making early diagnosis, optimal treatment, and multidisciplinary care crucial.
Case Report (n=1)
No
Early diagnosis and multidisciplinary care, including caesarean section prior to open repair, can lead to favorable maternal and fetal outcomes in pregnant women with acute type A aortic dissection.
Supports multidisciplinary planning in pregnant type A dissection; extends sparse case data but leaves open need for prospective validation.
BACKGROUND: Aortic dissection is rare in pregnancy, but it is often life-threatening. Thus, early diagnosis and optimal treatment are crucial. In addition, regular multidisciplinary care plays an important role in improving the therapeutic outcome. CASE: A 31-year-old pregnant woman (gravida 2, para 1, abortus 0) was transferred to our centre at 34 weeks of gestation with onset of dyspnoea and serious chest pain radiating to her back. Ultrasonography unexpectedly revealed a dilation of the aortic root with a sign of dissection. Computed tomography confirmed a type A aortic dissection based on the Stanford classification. She was successfully treated by caesarean section prior to open repair of acute type A dissection and received multidisciplinary care. The patient was discharged on the 16th postoperative day, and the baby is still alive without adverse events. CONCLUSION: Aortic dissection in pregnancy is relatively rare, but physicians should be on high alert for the condition when a pregnant woman has chest pain. Early diagnosis and adequate treatment in addition to regular multidisciplinary care are crucial to achieve favourable results.
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Tien et al. (2019) conducted a case report in Acute aortic dissection Stanford type A in pregnancy (n=1). Caesarean section prior to open repair of acute type A dissection was evaluated on Survival and adverse events. Caesarean section prior to open repair of acute type A dissection resulted in successful discharge on the 16th postoperative day with a surviving baby and no adverse events.
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