Papatsonis Dimitri N M, Heetkamp Anouk, van den Hombergh Cristy, Witkop Jan, Vos Louwerens D, Voets Michael A J, ten Kate-Booij Marianne J
Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands.
Am J Perinatol. 2009 Feb;26(2):153-7. doi: 10.1055/s-0028-1095184. Epub 2008 Oct 31.
A 40-year-old, gravida 2, para 1 woman presented at a gestational age of 32 + 5 weeks' with sudden onset of a sharp chest and thoracic back pain. She was admitted 1 hour before the onset of pain because of some minor postcoital vaginal blood loss. Pregnancy was uneventful until 30 weeks of pregnancy when mild gestational diabetes was diagnosed. Computer tomography demonstrated a type A aortic dissection. A healthy male infant of 2105 g was delivered by emergency cesarean section followed by a Bentall procedure with composite graft replacement of the aorta, and aortic valve replacement was performed. Rapid multidisciplinary consultation, collaboration, and quick decision making led to a successful outcome for both the mother and her child.
一名40岁、孕2产1的女性，孕32 + 5周时突然出现胸部和胸背部剧痛。因性交后少量阴道出血，在疼痛发作前1小时入院。妊娠至30周前一切正常，之后诊断为轻度妊娠期糖尿病。计算机断层扫描显示为A型主动脉夹层。通过急诊剖宫产分娩出一名体重2105克的健康男婴，随后进行了Bentall手术，用复合移植物置换主动脉，并进行了主动脉瓣置换术。迅速的多学科会诊、协作和快速决策为母亲和孩子带来了成功的结果。
