Korean J Anesthesiol.  2016 Feb;69(1):76-79. 10.4097/kjae.2016.69.1.76.

Stanford type A aortic dissection in a patient with Marfan syndrome during pregnancy: a case report

Affiliations
  • 1Department of Anesthesiolgy and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. wonhokim.ane@gmail.com
  • 2Department of Anesthesiolgy and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

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.

Keyword

Aortic dissection; Echocardiography; Marfan syndrome; Pregnancy
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