We
report the
diagnosis and
treatment of a
pregnant woman with acute Stanford type B
aortic dissection in the
second trimester who underwent
thoracic endovascular aortic repair under
local anesthesia and later gave
birth to a live
neonate . The
patient was admitted due to acute upper
back pain at 27 weeks of
gestation ,
who was diagnosed as acute Stanford type B
aortic dissection .
Thoracic endovascular aneurysm repair was performed with low
radiation dose under
local anesthesia . A live
neonate was born through
cesarean section at 33 +6 gestational weeks due to the flat baseline of the
fetal heart monitor, with a
birth weight of 1 840 g and
Apgar score of 9 at 1 min. The
neonate was discharged after a 20-day
treatment . During the follow-up of 12 months, the
infant grew and developed well, and covered
stent was well placed in the
mother without
leakage in the distal or proximal ends of the
stent or any other
complications .