Key result
Emergency C-section with valve-sparing aortic and total arch replacement yields 9-month maternal and infant survival.
Why the study?
The management strategy for acute type A aortic dissection during pregnancy remains controversial.
Population
One 27-year-old pregnant woman at 28 weeks' gestation with acute type A aortic dissection
Design
Case report
Follow-up
9 months postoperatively
Authors
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Successful repair of type A dissection at 28 weeks' gestation is feasible; leaves open optimal timing and technique in pregnancy.
Case Report (n=1)
No
Multidisciplinary collaboration involving neonatologists, obstetricians, and cardiovascular surgeons can ensure survival of both mother and infant in acute type A aortic dissection during pregnancy.
Kuroda et al. (2019) conducted a case report in Acute type A aortic dissection during pregnancy (n=1). Emergency cesarean section followed by hysterectomy and aortic replacement was evaluated on Mother and baby survival. Emergency cesarean section followed by valve-sparing aortic replacement and total arch replacement resulted in the survival and well-being of both mother and baby at 9 months postoperatively.
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