Emergency surgical management of acute Stanford type A aortic dissection in a primigravida at 29 weeks gestation: A case report.
Jianping Gan, Jingjing An
✦ AI-curated · Sources linked
Case in brief
A 34-year-old primigravida at 29 weeks gestation presented with severe chest and back pain, diagnosed with acute Stanford type A aortic dissection. A multidisciplinary team performed an emergency cesarean delivery followed by aortic repair. The patient maintained uterine hemostasis during surgery, and both mother and preterm infant survived without significant complications.
What made this case unusual
The case highlights the successful use of a coordinated cesarean delivery followed by aortic repair, which minimized fetal exposure to cardiopulmonary bypass.
Diagnostic / clinical pearl
Clinicians should consider a multidisciplinary approach in managing acute aortic dissection in pregnant patients, balancing maternal and fetal risks.
Why it matters
This case underscores the importance of innovative surgical strategies in high-risk obstetric emergencies, potentially guiding future management protocols.