title: [Anesthetic Management of a Patient Complicated with Marfan Syndrome and Suffering from Stanford Type A Aortic Dissection during Pregnancy].
abstract: We report a case of a 36-year-old woman at 34 weeks of gestation complicated with Marfan syndrome who underwent Bentall type aortic replacement surgery due to Stanford type A aortic dissection after undergoing caesarean section. Since this patient exhibited severe hypotension before coming to the operating room, it was very difficult to determine whether the cardiac surgery or caesarean section should be performed first. In this case, the caesarean section was performed first, followed by Bentall's surgery. Although intra-aortic balloon pumping and percutaneous cardiopulmonary support were required after weaning from the cardiopulmonary bypass, she was discharged on post-operative day (POD) 40 and the baby was discharged on POD 60, without signs of cerebral palsy. Unfortunately, this patient died on POD 57, due to heart failure. We discuss how to determine the priority of surgeries for patients who require emergency surgery for cardiovascular disease during pregnancy.
authors.forename: Nako
authors.initials: N
authors.lastname: Uozaki
authors.forename: Kaori
authors.initials: K
authors.lastname: Mizuno
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Shiraishi
authors.forename: Matsuyuki
authors.initials: M
authors.lastname: Doi
authors.forename: Shigehito
authors.initials: S
authors.lastname: Sato
mesh_terms: D000328:Adult; D000777:Anesthetics / Q000627:therapeutic use*; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications; D011184:Postoperative Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*
chemical_list: D000777:Anesthetics