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Acute type A aortic dissection at seven weeks of gestation in a Marfan patient: case report

Walid H Shaker1, Amal A Refaat, Mohammed A Hakamei

  • 1Prince Salman Heart Center, King Fahad Medical City, Riyadh, KSA.

Journal of Cardiac Surgery
|October 22, 2008
PubMed

A 34-year-old Marfan patient at the seventh week of pregnancy presented with acute type A aortic dissection and severe aortic regurgitation. The aortic valve and ascending aorta were replaced successfully using circulatory arrest and deep hypothermia. At 35 weeks of gestation, the patient underwent a cesarean section and delivered a healthy baby. To our knowledge, this case is the first to report a favorable fetal outcome following surgical repair of acute dissection in the first trimester of pregnancy.

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