Multidisciplinary management of acute type A aortic dissection in late pregnancy
- VernacularTitle:晚期妊娠合并急性A型主动脉夹层的多学科诊疗
- Author:
Lingchao LIU
1
;
Tianbo LI
1
;
Chencheng LIU
1
;
Bo XU
1
;
Yingbin XIAO
1
;
Yong WANG
1
Author Information
1. Institute of Cardiovascular Surgery, Xinqiao Hospital, Army Medical University, Chongqing, 400037, P.R.China
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
pregnancy;
multiple disciplines;
treatment
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(12):1488-1493
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the multidisciplinary management of patients with acute type A aortic dissection in late pregnancy. Methods The clinical data of 3 patients admitted to the Second Affiliated Hospital of Army Medical University from 2018 to 2019 were analyzed. Their age ranged from 27 to 32 years, while gestational age was 34-37 weeks. Sudden chest pain was the main clinical symptom before operation. All 3 patients underwent Bentall surgery after cesarean section under general anesthesia, of whom 2 patients received total arch replacement (TAR) combined with frozen elephant trunk (FET) implantation and 1 received coronary artery bypass grafting (CABG) additionally. Results No patient died during the perioperative period, and all the newborns were delivered successfully and survived healthily. The ICU stay was 3-5 d. The postoperative hospital stay was 15-18 d. The follow-up was 250-751 d. There was no recurrence or death. One patient who developed spontaneous pneumothorax and hydropneumothorax was cured in our center. Conclusion The multidisciplinary diagnosis and treatment strategy plays a crucial role in saving the life of pregnant patients with acute type A aortic dissection.
