Hồi sức phình bóc tách động mạch chủ ngực Stanford A ở bệnh nhân nữ có thai: nhân 3 trường hợp lâm sàng

Abstract

3 patients admitted to hospital with left chest pain, no known risk factors and a negative family history of aortic dissection or connective tissue disease. A 20-year-old woman, in the 12th week of pregnancy, had spiral computed tomography (CT) with IV contrast revealed aortic arch dissected with a diameter of 60 mm, the hematomas were around the aneurysm. A 26- year-old woman, in the 31th week of pregnancy, had CT with IV contrast revealed dissection of the aorta from the ascending aorta to the level of renal artery, the diameter size of sinuses of Valsalva is 62 mm, moderate aortic regurgitation by echocardiography. A 31-year-old woman, in the 33th week of pregnancy with aortic root dissection confirmed and mild dilation of the ascending thoracic aorta by CT, mild aortic regurgitation by echocardiography. 2 Women in the 31th and 33th weeks of pregnancy underwent an emergency combined operation, consisting of Cesarean section followed by aortic repair for aortic dissection and 2 newborns was taken to the Neonatal Care Unit for observation. One patient in the 12th week of pregnancy continued her pregnancy after an aortic operation. Aortic dissection is a rare complication of pregnancy with significant morbidity and mortality for both the mother and infant. Clinical experience and treatment with this entity is limited to case reports or small cohorts containing fewer than 20 patients. A good professional relationship between the cardiac surgeons, obstetrics and anesthesiologists is very important for the highquality patient outcome.