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Stanford type A aortic dissection in a patient with Marfan syndrome during pregnancy: a case report

Won Ho Kim1, Jisue Bae1, Seung Won Choi2

  • 1Department of Anesthesiolgy and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

Korean Journal of Anesthesiology
|February 18, 2016
PubMed

Aortic dissection during pregnancy is a devastating event for both the pregnant woman and the baby. We report a case of acute aortic dissection (Stanford type A) in a pregnant woman with Marfan syndrome at the 29(th) week of gestation. She underwent a cesarean section followed by an ascending aorta and total arch replacement with cardiopulmonary bypass, without a prior sternotomy. The hemodynamic parameters were kept stable during the cesarean section by using inotropes and vasopressors under transesophageal echocardiography monitoring. The newborn survived after endotracheal intubation and management in a neonatal intensive care unit.

Keywords:
Aortic dissectionEchocardiographyMarfan syndromePregnancy

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