Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation

Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation

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.

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Main Authors: Kuroda,Yoshinori, Uchida,Tetsuro, Hamasaki,Azumi, Yamashita,Atsushi, Mizumoto,Masahiro, Akabane,Kentaro, Ishizawa,Ai, Sadahiro,Mitsuaki
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500627
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spelling oai:scielo:S0102-763820190005006272019-11-06Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ GestationKuroda,YoshinoriUchida,TetsuroHamasaki,AzumiYamashita,AtsushiMizumoto,MasahiroAkabane,KentaroIshizawa,AiSadahiro,Mitsuaki Aortic Valve Cardiovascular Pregnancy Complications Cardiovascular Surgical Procedures - Methods 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.info:eu-repo/semantics/openAccessSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery v.34 n.5 20192019-10-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500627en10.21470/1678-9741-2018-0225
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Kuroda,Yoshinori
Uchida,Tetsuro
Hamasaki,Azumi
Yamashita,Atsushi
Mizumoto,Masahiro
Akabane,Kentaro
Ishizawa,Ai
Sadahiro,Mitsuaki
spellingShingle Kuroda,Yoshinori
Uchida,Tetsuro
Hamasaki,Azumi
Yamashita,Atsushi
Mizumoto,Masahiro
Akabane,Kentaro
Ishizawa,Ai
Sadahiro,Mitsuaki
Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
author_facet Kuroda,Yoshinori
Uchida,Tetsuro
Hamasaki,Azumi
Yamashita,Atsushi
Mizumoto,Masahiro
Akabane,Kentaro
Ishizawa,Ai
Sadahiro,Mitsuaki
author_sort Kuroda,Yoshinori
title Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
title_short Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
title_full Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
title_fullStr Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
title_full_unstemmed Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks’ Gestation
title_sort surgery for acute type a aortic dissection in a pregnant woman at 28 weeks’ gestation
description 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.
publisher Sociedade Brasileira de Cirurgia Cardiovascular
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500627
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