Surgical treatment for acute type A aortic dissection in pregnancy: a case of aortic root replacement just after Cesarean section.
A 25-year-old woman with Marfan syndrome in the 37th week of pregnancy was referred for acute chest pain and dyspnea. An emergency Cesarean section was performed because of fetal distress. Intraoperative echocardiography at the end of the Cesarean section showed dilatation of the aortic root and dissection of the ascending aorta. The patient underwent replacement of the aortic root and the ascending aorta on the following day because of uterine bleeding. The postoperative course was uneventful for the mother and her baby.
Akashi
H
H
Department of Surgery, Kurume University School of Medicine, Japan.
Tayama
K
K
Fujino
T
T
Onitsuka
S
S
Sakashita
H
H
Aoyagi
S
S
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002585:Cesarean Section; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery; D011859:Radiography; D014592:Uterine Hemorrhage