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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks' Gestation

Yoshinori Kuroda1, Tetsuro Uchida1, Azumi Hamasaki1

  • 1Yamagata University Faculty of Medicine Department of Surgery II Division of Cardiovascular Surgery Yamagata-shi Japan Division of Cardiovascular Surgery, Department of Surgery II, Yamagata University Faculty of Medicine, Yamagata-shi, Yamagata-ken, Japan.

Brazilian Journal of Cardiovascular Surgery
|November 14, 2019
PubMed

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.

Keywords:
Aortic ValveCardiovascular Pregnancy ComplicationsCardiovascular Surgical Procedures - Methods

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