Stanford type A aortic dissection in a patient with Marfan syndrome during pregnancy: a case report.
10.4097/kjae.2016.69.1.76
- Author:
Won Ho KIM
1
;
Jisue BAE
;
Seung Won CHOI
;
Jong Hwan LEE
;
Chung Su KIM
;
Hyun Sung CHO
;
Sangmin M LEE
Author Information
1. Department of Anesthesiolgy and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. wonhokim.ane@gmail.com
- Publication Type:Case Report
- Keywords:
Aortic dissection;
Echocardiography;
Marfan syndrome;
Pregnancy
- MeSH:
Aorta;
Cardiopulmonary Bypass;
Cesarean Section;
Echocardiography;
Echocardiography, Transesophageal;
Female;
Hemodynamics;
Humans;
Infant, Newborn;
Intensive Care, Neonatal;
Intubation, Intratracheal;
Marfan Syndrome*;
Pregnancy*;
Pregnant Women;
Sternotomy
- From:Korean Journal of Anesthesiology
2016;69(1):76-79
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 29th 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.
