Key result
Bovine arch replacement for ATAAD in pregnancy achieves two-year maternal and fetal survival.
Case Report (n=1)
No
Demonstrates successful surgical management of acute type A aortic dissection with bovine arch replacement in a third-trimester pregnant patient with severe hemodynamic compromise.
Successful repair achieved in unstable third-trimester case with Marfan features; leaves open optimal timing and technique for this rare presentation.
Acute aortic dissection is very uncommon in pregnant women and the acute type A aortic dissection carries a high mortality rate outside specialized centres. There are a few cases reported with successful outcomes for the mother and the foetus from major cardiac centres. We are reporting our first experience of acute aortic dissection during the third trimester of pregnancy in a patient with Marfan features, profound haemodynamic compromise on arrival and a bovine aortic arch. Both the mother and the baby are doing well two years postoperatively.
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Nonga et al. (2012) conducted a case report in Acute type A aortic dissection (n=1). Bovine arch replacement was evaluated on Maternal and fetal survival. Bovine arch replacement for acute type A aortic dissection in a pregnant woman with severe haemodynamic compromise resulted in successful outcomes for both mother and baby at two years.
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