Surgery for acute type a aortic dissection in a pregnant woman at 28 weeks' gestation
Rev. bras. cir. cardiovasc
; 34(5): 627-629, Sept.-Oct. 2019. tab, graf
Article
in En
| LILACS
| ID: biblio-1042036
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ABSTRACT
Abstract A 27-year-old woman with sudden back pain was transported to our hospital. Abdominal ultrasonography revealed pregnancy of 28 weeks' gestation. Computed tomography demonstrated a type A aortic dissection. Because of progressive fetal deterioration, an emergency cesarean section was forced to perform. The next day, simple hysterectomy followed by an aortic procedure was completed. Valve-sparing aortic replacement and total arch replacement were employed as central operations. The mother and baby are well 9 months postoperatively. Although the strategy for acute type A aortic dissection during pregnancy is controversial, collaborations among neonatologists, obstetricians, and cardiovascular surgeons can ensure mother and infant survival.
Key words
Full text:
1
Index:
LILACS
Main subject:
Aortic Aneurysm
/
Pregnancy Complications, Cardiovascular
/
Heart Valve Prosthesis Implantation
/
Aortic Dissection
Limits:
Adult
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Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
CARDIOLOGIA
/
CIRURGIA GERAL
Year:
2019
Type:
Article