Survival of mother and infant following treatment of acute Stanford type B aortic dissection with endovascular repair under local anesthesia in second trimester: a case report
10.3760/cma.j.cn113903-20210207-00114
- VernacularTitle:中孕期局麻下腔内修复术治疗急性Stanford B型主动脉夹层并母婴存活一例
- Author:
Dingfang YAN
1
;
Ye YUAN
;
Yun HE
;
Dianchao CHEN
;
Wenjun ZHANG
Author Information
1. 十堰市太和医院 湖北医药学院附属太和医院超声医学科 442000
- Keywords:
Aneurysm, dissecting;
Aortic aneurysm, thoracic;
Aortic rupture;
Anesthesia, local;
Angioplasty;
Pregnancy trimester, second;
Pregnancy outcome
- From:
Chinese Journal of Perinatal Medicine
2021;24(9):697-699
- CountryChina
- Language:Chinese
-
Abstract:
We report the diagnosis and treatment of a pregnant woman with acute Stanford type B aortic dissection in the second trimester who underwent thoracic endovascular aortic repair under local anesthesia and later gave birth to a live neonate. The patient was admitted due to acute upper back pain at 27 weeks of gestation, who was diagnosed as acute Stanford type B aortic dissection. Thoracic endovascular aneurysm repair was performed with low radiation dose under local anesthesia. A live neonate was born through cesarean section at 33 +6 gestational weeks due to the flat baseline of the fetal heart monitor, with a birth weight of 1 840 g and Apgar score of 9 at 1 min. The neonate was discharged after a 20-day treatment. During the follow-up of 12 months, the infant grew and developed well, and covered stent was well placed in the mother without leakage in the distal or proximal ends of the stent or any other complications.
