Key result
Total arch replacement with frozen elephant trunk achieves maternal-fetal survival in acute type A dissection.
Why the study?
Aortic dissection during pregnancy is rare and life-threatening, typically occurring in the third trimester or postpartum with connective tissue disease, making successful repair in the early second trimester extremely rare.
Population
One 28-year-old pregnant woman at the 16th gestational week with acute type A aortic dissection without Marfan syndrome
Comparison
Total arch replacement with a frozen elephant trunk using moderate hypothermic circulatory arrest with fetus in situ
Design
Case report and review of the literature
Authors
Loading...
Supports feasibility of surgical repair with maternal-fetal survival in early second-trimester sporadic aortic dissection; leaves open standardized protocols for this rare scenario.
Case Report (n=1)
Demonstrates the feasibility of successful surgical repair of acute type A aortic dissection using moderate hypothermic circulatory arrest in the early second trimester with both maternal and fetal survival.
Chen et al. (2019) conducted a case report in Acute type A aortic dissection during pregnancy (n=1). Total arch replacement with a frozen elephant trunk using moderate hypothermic circulatory arrest was evaluated on Maternal and fetal survival. Total arch replacement with a frozen elephant trunk using moderate hypothermic circulatory arrest successfully treated acute type A aortic dissection with maternal and fetal survival.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: