Kanamori Taro, Ichihara Tetsuya, Sakaguchi Hidehito, Inoue Takehiko
Department of Cardiovascular Surgery, Chibanishi General Hospital, Matsudo, Japan.
Kyobu Geka. 2014 Mar;67(3):220-3.
We report a case of successful surgical treatment for acute type A aortic dissection in a patient in late pregnancy. The patient was a 42-year-old woman who was pregnant for the 1st time. She was taken to hospital with a sudden onset of chest pain at 30 weeks' gestation. She was diagnosed with acute type A aortic dissection with annuloaortic ectasia (AAE) and aortic regurgitation, and was transferred to our hospital for further treatment. Emergency cesarean section and hysterectomy were performed, followed by modified Bentall operation on the next day. The postoperative course was uneventful for both the mother and the infant. Considering the severity of acute type A aortic dissection with AAE, aortic repair might have been performed as soon as possible after cesarean section.
我们报告一例晚期妊娠患者成功接受急性A型主动脉夹层手术治疗的病例。患者为一名42岁首次怀孕的女性。她在妊娠30周时因突发胸痛入院。她被诊断为急性A型主动脉夹层合并主动脉根部扩张（AAE）及主动脉瓣反流，并被转至我院接受进一步治疗。急诊行剖宫产及子宫切除术，次日行改良Bentall手术。术后母婴恢复均顺利。考虑到合并AAE的急性A型主动脉夹层的严重性，剖宫产术后可能应尽快进行主动脉修复。
