1例马凡综合征合并双胎妊娠的A型急性主动脉夹层行主动脉根部置换术的病例。
A case of aortic root replacement for acute type A dissection in Marfan syndrome with twin pregnancy.
作者信息
Yang Yi, Jia Bo, Li Chengnan, Zhu Junming
机构信息
Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing Institute of Heart Lung and Blood Vessel Diseases, Capital Medical University, Beijing, China.
出版信息
Interdiscip Cardiovasc Thorac Surg. 2025 Mar 5;40(3). doi: 10.1093/icvts/ivaf039.
Type A aortic dissection is a life-threatening condition requiring urgent surgery. However, clinical experience with type A aortic dissection during twin pregnancy is extremely limited. We report a case of a 32-year-old woman with Marfan syndrome who was diagnosed with type A aortic dissection at 37 weeks of gestation with boy-girl twins. The patient successfully underwent caesarean delivery followed by aortic root replacement. Both the mother and twins were discharged without complications.
A型主动脉夹层是一种危及生命的疾病，需要紧急手术。然而，双胎妊娠期间A型主动脉夹层的临床经验极其有限。我们报告一例32岁患有马凡综合征的女性病例，她在孕37周时怀了一对龙凤胎，被诊断为A型主动脉夹层。患者成功接受了剖宫产，随后进行了主动脉根部置换术。母亲和双胞胎均顺利出院，无并发症。
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