Stanford type A aortic dissection in a patient with Marfan syndrome during pregnancy: a case report.
Won Ho KimJisue BaeSeung Won ChoiJong-Hwan LeeChung Su KimHyun Sung ChoSangmin M LeePublished in: Korean journal of anesthesiology (2016)
Aortic dissection during pregnancy is a devastating event for both the pregnant woman and the baby. We report a case of acute aortic dissection (Stanford type A) in a pregnant woman with Marfan syndrome at the 29(th) week of gestation. She underwent a cesarean section followed by an ascending aorta and total arch replacement with cardiopulmonary bypass, without a prior sternotomy. The hemodynamic parameters were kept stable during the cesarean section by using inotropes and vasopressors under transesophageal echocardiography monitoring. The newborn survived after endotracheal intubation and management in a neonatal intensive care unit.
Keyphrases
- aortic dissection
- case report
- preterm infants
- pregnant women
- computed tomography
- cardiac arrest
- left ventricular
- pulmonary hypertension
- heart failure
- aortic valve replacement
- aortic valve
- intensive care unit
- gestational age
- liver failure
- left atrial appendage
- coronary artery disease
- atrial fibrillation
- hepatitis b virus
- drug induced
- preterm birth
- aortic stenosis
- placebo controlled
- double blind