Clinical analysis of five cases of aortic dissection in the third trimester pregnancy
HUANG Yan-jun
WANG Xiao
JIANG Jian-hui
ZHANG Ke-ke
HUANG Yin-ping
Abstract：Objective To discuss the clinical manifestations,diagnosis,treatment and prognosis of the pregnancy with aortic dissection,and to raise the level of diagnosis and treatment.Methods The clinical data of 5 cases of aortic dissection in the third trimester pregnancy were retrospectively analyzed,who were treated in the First Affiliated Hospital of Wenzhou Medical University between January 2010 and June 2015.Analyze their clinical manifestations,diagnosis and treatment process,pregnancy outcome and the prognosis.Results Among 5 cases,3 cases were Stanford type A and 2 cases were Stanford type B.The 5 cases were of acute onset;clinical manifestations were mainly chest pain,chest tightness and lumbar abdominal pain.The 5 cases were confirmed by CTA and 3 cases of type A were also diagnosed with aortic dissection by TTE.Cesarean section+Bentall's+aortic arch replacement+descending aorta stent implantation surgery were performed in patients with type A aortic dissection.Thoracic endovascular aortic repair and cesarean section were performed in patients with type B aortic dissection.The women and neonates all survived.Conclusion The pregnancy complicated with aortic dissection has risk factors,such as Marian syndrome and hypertension.Its manifestations are mainly sudden pain and its main diagnostic methods are TTE and CTA.The proper handling and operation method should be chosen to ensure the safety of mothers and infants.
Keywords：aortic dissectionthird trimester pregnancysurgical management
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 841-844 )