Acute Type A Aortic Dissection and Late Pregnancy: What Should We Do?

Braz J Cardiovasc Surg. 2023 Feb 10;38(1):183-190. doi: 10.21470/1678-9741-2020-0670.

Abstract

Introduction: Acute type A aortic dissection (AAAD) in late pregnancy is a rare but severe disease. Lack of clinical experience is the main cause of high mortality. This study tries to investigate the multidisciplinary therapeutic strategy for these patients.

Case presentation: We reported three patients with AAAD in late pregnancy. Sudden chest pain was the main clinical symptom before operation. All three patients and their newborns survived through multidisciplinary approach in diagnosis and treatment. No serious complications occurred during the mid-term follow-up.

Conclusion: Multidisciplinary diagnosis and treatment strategy play a crucial role in saving the lives of pregnant women with AAAD.

Keywords: Aneurysm; Chest Pain; Dissecting; Follow-Up Studies; Pregnancy; Thorax; Treatment Outcome.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm* / complications
  • Aortic Aneurysm* / diagnostic imaging
  • Aortic Aneurysm* / surgery
  • Aortic Dissection* / complications
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / surgery
  • Female
  • Humans
  • Infant, Newborn
  • Postoperative Complications / etiology
  • Pregnancy
  • Treatment Outcome

Grants and funding

This work was supported by the Project of Chinese People’s Liberation Army Medical University (No. CX2019JS216).