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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: luccessful treatment for acute aortic dissection in pregnancy—bentall procedure concomitant with cesarean section. | Guo et al. Journal of Cardiothoracic Surgery 2011 6 139 http www.cardiothoracicsurgery.Org content 6 1 139 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Successful treatment for acute aortic dissection in pregnancy bentall procedure concomitant with cesarean section Changfa Guo Demin Xu and Chunsheng Wang Abstract Acute aortic type A dissection is a life-threatening disease that requires immediate surgical intervention. When dissection occurs during pregnancy it is of high risk for both the mother and the fetus. In this study we reported two cases of acute aortic dissection in late pregnancy at 28 weeks and 32 weeks of gestation respectively. After the two patients underwent a cesarean section and delivered a baby we performed composite graft replacement of the aortic valve aortic root and ascending aorta with re-implantation of the coronary arteries into the graft Bentall procedure instead of repairing the arch with deep hypothermia and circulation arrest. Both mothers and children survived and recovered well. Background Acute aortic type A dissection in pregnancy is rare however of high risk for both the mother and the fetus. Concomitant diseases of Marfan and bicuspid aortic valve disease BAVD are of special interest. From Jan 2001 to April 2008 we had two cases of acute aortic dissection in pregnancy one BAVD patient and the other Marfan patient 1.38 2 145 in all acute aortic type A dissection cases. Case report Case I. A 33-year-old Marfan woman who had had a normal previous pregnancy was referred because of the acute chest pain with back irradiation. She was at the 28 weeks pregnancy this time. Echocardiography revealed moderate-severe aortic regurgitation a dilated aortic root measuring 5.2 cm in diameter and an acute aortic dissection involving the ascending aorta and the aortic arch which was also verified by a computed tomography arteriogram Figure 1-A B . Case II. A 30-year-old woman at 32 weeks of gestation was admitted because of the .