急性 A 型主动脉夹层与晚期妊娠：我们该怎么办？
Acute Type A Aortic Dissection and Late Pregnancy: What Should We Do?
机构信息
Institute of Cardiovascular Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
出版信息
Braz J Cardiovasc Surg. 2023 Feb 10;38(1):183-190. doi: 10.21470/1678-9741-2020-0670.
INTRODUCTION
Acute type A aortic dissection (AAAD) in late pregnancy is a rare but severe disease. Lack of clinical experience is the main cause of high mortality. This study tries to investigate the multidisciplinary therapeutic strategy for these patients.
CASE PRESENTATION
We reported three patients with AAAD in late pregnancy. Sudden chest pain was the main clinical symptom before operation. All three patients and their newborns survived through multidisciplinary approach in diagnosis and treatment. No serious complications occurred during the mid-term follow-up.
CONCLUSION
Multidisciplinary diagnosis and treatment strategy play a crucial role in saving the lives of pregnant women with AAAD.
简介
妊娠晚期急性 A 型主动脉夹层（AAAD）是一种罕见但严重的疾病。缺乏临床经验是导致高死亡率的主要原因。本研究旨在探讨多学科治疗策略对这些患者的疗效。
病例介绍
我们报告了 3 例妊娠晚期 AAAD 患者。手术前的主要临床症状是突发胸痛。通过多学科的诊断和治疗方法，3 名患者及其新生儿均存活下来。在中期随访期间，没有发生严重并发症。
结论
多学科诊断和治疗策略对挽救妊娠晚期 AAAD 患者的生命至关重要。
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