title: Two surgical cases of acute aortic dissection in pregnancy with marfan syndrome.
abstract: We describe 2 surgical cases of acute aortic type A dissection during pregnancy in women with Marfan syndrome. Both of them underwent emergency aortic root replacement under deep hypothermia; one patient was in her 21(st) week of pregnancy and the other was treated 1 day after a normal delivery. The patients experienced fair postoperative courses, but intrauterine fetus death was confirmed in the first case.
authors.affiliation: Department of Cardiovascular Surgery, Kobe General Hospital, Minatojima, Naka-Machi 4-6, Chuo-Ku, Kobe 650-0046, Japan. hidewacky@aol.com
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Wakiyama
authors.forename: Michihiro
authors.initials: M
authors.lastname: Nasu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Aki
authors.initials: A
authors.lastname: Kitamura
authors.forename: Yukikatsu
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000009:adverse effects; D004638:Emergency Treatment; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D006801:Humans; D050498:Live Birth; D008382:Marfan Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011262:Pregnancy Trimester, Second; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000009:adverse effects*