OBJECTIVE: To explore the diagnosis and treatment of pregnancy-associated acute Stanford type A aortic dissection to improve the maternal and fetal outcomes. METHODS: We analyzed the perioperative data of 5 pregnant women with acute Stanford type A aortic dissection treated between June, 2009 and February, 2017. RESULTS: The median age of the women was 30 years (range, 22-34 years) with gestational weeks of 23-38 weeks upon diagnosis. All the 5 patients received surgical interventions. Three patients underwent caesarean delivery and hysterectomy, and the fetuses survived after the surgery; 2 patients chose to continue pregnancy following the surgery, among whom one died due to postoperative complications and the other underwent termination of pregnancy. During follow-up, the surviving patients showed no endoleak in the descending aorta stent and the distal dissection remained stable. CONCLUSION: The maternal and fetal outcomes of pregnancy-associated acute Stanford type A aortic dissection can be improved by multidisciplinary cooperation and optimization of the surgical approaches according to the time of pregnancy, fetal development and conditions of the aortic lesions.
OBJECTIVE: To explore the diagnosis and treatment of pregnancy-associated acute Stanford type A aortic dissection to improve the maternal and fetal outcomes. METHODS: We analyzed the perioperative data of 5 pregnant women with acute Stanford type A aortic dissection treated between June, 2009 and February, 2017. RESULTS: The median age of the women was 30 years (range, 22-34 years) with gestational weeks of 23-38 weeks upon diagnosis. All the 5 patients received surgical interventions. Three patients underwent caesarean delivery and hysterectomy, and the fetuses survived after the surgery; 2 patients chose to continue pregnancy following the surgery, among whom one died due to postoperative complications and the other underwent termination of pregnancy. During follow-up, the surviving patients showed no endoleak in the descending aorta stent and the distal dissection remained stable. CONCLUSION: The maternal and fetal outcomes of pregnancy-associated acute Stanford type A aortic dissection can be improved by multidisciplinary cooperation and optimization of the surgical approaches according to the time of pregnancy, fetal development and conditions of the aortic lesions.
Authors: Jun-Ming Zhu; Wei-Guo Ma; Sven Peterss; Long-Fei Wang; Zhi-Yu Qiao; Bulat A Ziganshin; Jun Zheng; Yong-Min Liu; John A Elefteriades; Li-Zhong Sun Journal: Ann Thorac Surg Date: 2016-11-05 Impact factor: 4.330
Authors: Markus Thalmann; Gottfried H Sodeck; Hans Domanovits; Martin Grassberger; Christian Loewe; Michael Grimm; Martin Czerny Journal: Eur J Cardiothorac Surg Date: 2011-02-26 Impact factor: 4.191
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Authors: Franz F Immer; Anne G Bansi; Alexsandra S Immer-Bansi; Jane McDougall; Kenton J Zehr; Hartzell V Schaff; Thierry P Carrel Journal: Ann Thorac Surg Date: 2003-07 Impact factor: 4.330
Authors: Dimitri N M Papatsonis; Anouk Heetkamp; Cristy van den Hombergh; Jan Witkop; Louwerens D Vos; Michael A J Voets; Marianne J ten Kate-Booij Journal: Am J Perinatol Date: 2008-10-31 Impact factor: 1.862