Sumiyoshi Riki, Morita Hideki, Fujii Kento, Shirasughi Takehiro, Kawaura Hiroyuki, Aoki Masakazu, Nagano Hiroshi
Department of Cardiovascular Surgery, Saitama Red Cross Hospital, 1-5 Shintoshin, Chuo-ku, Saitama-shi, Saitama, 330-8553, Japan.
Gen Thorac Cardiovasc Surg. 2021 Jun;69(6):1004-1007. doi: 10.1007/s11748-021-01596-3. Epub 2021 Feb 7.
The patient was a 31-year-old pregnant woman who gave birth to her first child by vaginal delivery 7 years ago. She was diagnosed with Marfan's syndrome based on physical findings; however, the condition was not diagnosed before the onset. The patient developed acute aortic dissection at 28 weeks of pregnancy. A cesarean section was first performed to save the patient's life; then, a total hysterectomy was performed to prevent the risk of postpartum hemorrhage. Furthermore, aortic root replacement was performed using a temporary mechanical valve. The patient and her child have survived without any complications.
该患者为一名31岁的孕妇，7年前经阴道分娩产下她的第一个孩子。根据体格检查结果，她被诊断为马凡综合征；然而，在发病前该疾病未被诊断出来。该患者在怀孕28周时发生了急性主动脉夹层。首先进行剖宫产以挽救患者生命；然后，进行全子宫切除术以防止产后出血的风险。此外，使用临时机械瓣膜进行了主动脉根部置换术。患者及其孩子均存活且无任何并发症。
