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CC BY 4.0 · Aorta (Stamford) 2014; 02(03): 113-115
DOI: 10.12945/j.aorta.2014.14-013
DOI: 10.12945/j.aorta.2014.14-013
Case Report
Type A Aortic Dissection in Pregnancy
Two Operations Yielding Five Healthy PatientsFurther Information
Publication History
21 February 2014
06 June 2014
Publication Date:
24 September 2018 (online)
Abstract
Type A aortic dissection in pregnancy is a rare, life-threatening condition with a higher incidence in patients with connective tissue diseases. Mortality is high, reflecting the challenges of protecting both maternal and fetal well-being. We discuss two pregnancies complicated by aortic dissection, including one twin pregnancy, and describe the successful aortic repair immediately following Caesarean section. A total of three healthy neonates were delivered. The challenging management and implications of this precarious condition are explored in the context of these cases.
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References
- 1 Immer FF, Bansi AG, Immer-Bansi AS, McDougall J, Zehr KJ, Schaff HV. , et al. Aortic dissection in pregnancy: analysis of risk factors and outcome. Ann Thorac Surg 2003; 76: 309-314 . 10.1016/S0003-4975(03)00169-3
- 2 Johnston C, Schroeder F, Fletcher S, Bigham C, Wendler R. Type A aortic dissection in pregnancy. Int J Obstet Anesth 2012; 21: 75-79 . 10.1016/j.ijoa.2011.09.006
- 3 Parlakgumus HA, Haydardedeoglu B, Alkan O. Aortic dissection accompanied by preeclampsia and preterm labor. J Obstet Gynaecol Res 2010; 36: 1121-1124 . 10.1111/j.1447-0756.2010.01263.x
- 4 Reitman E, Flood P. Anaesthetic considerations for non-obstetric surgery during pregnancy. Br J Anaesth 2011; 107 (Suppl 1) i72-i78 . 10.1093/bja/aer343
- 5 Hernandez C, Shuler K, Hannan H, Sonyika C, Likourezos A. Marshall J. C.A.U.S.E.: cardiac arrest ultra-sound exam–a better approach to managing patients in primary non-arrhythmogenic cardiac arrest. Resuscitation 2008; 76: 198-206 . 10.1016/j.resuscitation.2007.06.033
- 6 Jayaram A, Carp HM, Davis L, Jacobson SL. Pregnancy complicated by aortic dissection: caesarean delivery during extradural anaesthesia. Br J Anaesth 1995; 75: 358-360 . 10.1093/bja/75.3.358
- 7 Sakaguchi M, Kitahara H, Seto T, Furusawa T, Fukui D, Yanagiya N. , et al. Surgery for acute type A aortic dissection in pregnant patients with Marfan syndrome. Eur J Cardiothorac Surg 2005; 28: 280-283 ; discussion 283-285. 10.1016/j.ejcts.2005.02.047
- 8 Hunter S, Robson SC. Adaptation of the maternal heart in pregnancy. Br Heart J 1992; 68: 540-543 . 10.1136/hrt.68.12.540