Abstract
Acute aortic type A dissection is a life-threatening disease that requires immediate surgical intervention. When dissection occurs during pregnancy, it is of high risk for both the mother and the fetus. In this study, we reported two cases of acute aortic dissection in late pregnancy at 28 weeks and 32 weeks of gestation respectively. After the two patients underwent a cesarean section and delivered a baby, we performed composite graft replacement of the aortic valve, aortic root and ascending aorta, with re-implantation of the coronary arteries into the graft (Bentall procedure) instead of repairing the arch with deep hypothermia and circulation arrest. Both mothers and children survived and recovered well.
Highlights
Acute aortic type A dissection in pregnancy is rare, of high risk for both the mother and the fetus
Echocardiography revealed bicuspid aortic valve disease (BAVD) (Figure 2-A) with moderate aortic stenosis and regurgitation, a dilated aortic root measuring 4.6 cm in diameter, and an acute aortic dissection involving the ascending aorta, which was verified by a computed tomography arteriogram (Figure 2-B)
Aortic dissection is rare in young woman, but when it does occur, it is often associated with pregnancy of highest incidence in the third trimester
Summary
Background Acute aortic type A dissection in pregnancy is rare, of high risk for both the mother and the fetus. Echocardiography revealed moderate-severe aortic regurgitation, a dilated aortic root measuring 5.2 cm in diameter, and an acute aortic dissection involving the ascending aorta and the aortic arch, which was verified by a computed tomography arteriogram (Figure 1-A, B). Echocardiography revealed BAVD (Figure 2-A) with moderate aortic stenosis and regurgitation, a dilated aortic root measuring 4.6 cm in diameter, and an acute aortic dissection involving the ascending aorta, which was verified by a computed tomography arteriogram (Figure 2-B).
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
