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CC BY 4.0 · Aorta (Stamford) 2020; 08(01): 014-017
DOI: 10.1055/s-0040-1701605
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Successful Outcomes following Repair of a Type A Aortic Dissection during Pregnancy

Akbarshakh Akhmerov
1   Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California
2   Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
,
Nicola D'Attellis
3   Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California
,
Aamir S. Shah
2   Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
4   Department of Cardiac Surgery, Cedars-Sinai Medical Center, Los Angeles, California
› Institutsangaben Funding A. A. is supported by National Heart, Lung, and Blood Institute grant (T32HL116273).
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Publikationsverlauf

02. Januar 2019

18. November 2019

Publikationsdatum:
29. Juni 2020 (online)

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Abstract

Type A aortic dissections during pregnancy are rare but lethal events, with reported mortalities as high as 60%. Unique changes in hemodynamics, hormone-related alterations in aortic tissue, and preexisting risk factors place patients at an elevated risk for dissection. We report a successful repair of a Type A aortic dissection at 32 weeks of gestation, with excellent outcomes in both mother and child. This report highlights the importance of gestational age and multidisciplinary effort.

Keywords

aortic dissection - aorta - pregnancy - thoracic - multidisciplinary
 

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