Key result
Bentall procedure repairs acute type A dissection in pregnant Marfan patient, saving mother and fetus.
Why the study?
Acute aortic dissection is a life-threatening disorder classically presenting with tearing chest pain radiating to the back yet can have deceiving clinical presentations.
Can the Bentall procedure be safely performed to repair acute type A aortic dissection in a pregnant woman with Marfan syndrome while preserving the pregnancy?
Case Report (n=1)
Can the Bentall procedure be safely performed to repair acute type A aortic dissection in a pregnant woman with Marfan syndrome while preserving the pregnancy?
The Bentall procedure can be successfully performed to repair acute type A aortic dissection in pregnant women with Marfan syndrome while preserving the fetus.
Answers are grounded in this paper and cite their sources.
Successful Bentall repair feasible in pregnant Marfan patient with type A dissection; leaves open optimal timing and peripartum strategies.
Background: Acute aortic dissection is the most common life-threatening disorder classically presenting with tearing chest pain radiating to the back yet can have deceiving clinical presentations. Case presentation: The patient was a 22-year-old pregnant woman (gravida 6, para 4, abortion1) at 26 weeks of gestation. She was a known case of Marfan syndrome who developed acute type A aortic dissection during pregnancy. Repair of aortic dissection was done through the Bentall procedure with a composite mechanical valved conduit while Fetal heart rate (FHR) was simultaneously monitored during surgery. Three months after surgical repair, the newborn was delivered via cesarean, and both mother and baby survived without any complications. Conclusions: In this case, we demonstrated that repair of type A aortic dissection can be done in pregnant women with preservation of fetus in the uterus through close cooperation among all members of a multi-disciplinary team.
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Shahzamani et al. (2023) conducted a case report in Acute type A aortic dissection in pregnant Marfan syndrome (n=1). Bentall procedure was evaluated on Maternal and fetal survival without complications. The Bentall procedure successfully repaired an acute type A aortic dissection in a pregnant woman with Marfan syndrome, allowing for preservation of the pregnancy and survival of both mother and baby.
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