Acute aortic dissection in pregnant women

作者:Yang, Zhaohua*; Yang, Shouguo; Wang, Fangshun; Wang, Chunsheng
来源:General Thoracic and Cardiovascular Surgery, 2016, 64(5): 283-285.
DOI:10.1007/s11748-014-0460-4

摘要

Acute aortic dissection occurring during pregnancy represents a lethal risk to both the mother and fetus. Management of parturient with acute aortic dissection is complex. We report our experience of two pregnancies with type A acute aortic dissection. One patient is a 31-year-old pregnant woman (33rd gestational week) with a bicuspid aortic valve and the other is a 32-year-old pregnant woman (30th gestational week) with the Marfan syndrome. In both cases, a combined emergency operation consisting of Cesarean section, total hysterectomy prior to corrective surgery for aortic dissection was successfully performed within a relatively short period of time after the onset. Both patients' postoperative recovery was uneventful, and we achieved a favorable maternal and fetal outcome.