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Background Acute aortic dissection(AAD) in pregnant woman is a rare but potentially life- threatening event to both the pregnant mother and baby. Our aim was to investigate the clinical characteristics and management of AAD during pregnancy from the perspective of obstetrics. Methods Retrospective analysis of the medical materials of 2 cases of pregnancy complicating AAD in our hospital and review of some literature were conducted. Results One patient was 22-year-old pregnant woman at 25-week gestation, who received a corrective surgery for aortic dissection during pregnancy. The other one was 30 years old and was successfully performed a combined emergent operation consisting of Cesarean section, total hysterectomy prior to the AAD corrective surgery at the 32 nd gestational week. Both of them were successfully cured. Conclusions AAD during pregnancy.once diagnosed, must be performed an emergent operation. If the baby is almost mature, combined surgery consisting of Cesarean section, total hysterectomy and corrective operation for AAD can be under consideration.
Background Acute aortic dissection (AAD) in pregnant woman is a rare but potentially life- threatening event to both the pregnant mother and baby. Our aim was to investigate the clinical characteristics and management of AAD during pregnancy from the perspective of obstetrics. Methods Retrospective analysis of the medical materials of 2 cases of pregnancy complicating AAD in our hospital and review of some literature were conducted. Results One patient was 22-year-old pregnant woman at 25-week gestation, who received a corrective surgery for aortic dissection during pregnancy. The other one was 30 years old and was successfully completed a combined emergent operation consisting of Cesarean section, total hysterectomy prior to the AAD corrective surgery at the 32 nd gestational week. Both of them were successfully cured. Conclusions AAD during pregnancy. Once diagnosed, must be performed an emergent operation. If the baby is almost mature, combined surgery consisting of Cesarean section, total hysterectomy and corrective operation for AAD can be under consideration.