Irish Journal of Medical Science (1971 -)

, Volume 185, Issue 3, pp 735–739 | Cite as

A successful cesarean section followed with endovascular stent-graft implantation for a 36-week twin pregnancy with acute aortic dissection: a case report

  • Qun Hao
  • Hao Wang
  • Cheng Zhang
  • Ai-qing Ma
  • Yuan-zhe Wu
Brief Report
First Online:
Received:
Accepted:

Abstract

Introduction

It is a first case report for a woman pregnant with twins who suddenly ruptured with a Stanford type B aortic dissection.

Materials and methods

A 24-year-old pregnant patient gravida 1 and para 0 at the 36th gestation week was sent to our Emergency Department under the medical monitoring by the local gynecologist. Her primary complaints were that she suddenly felt “severe tearing chest pain”. Ultrasound image illustrated fetal twins at cephalic positions about 36th gestation week. An emergent magnetic resonance angiography (MRA) of aorta is given below: dissection of the descending aorta arisen from the descending aorta to the bifurcation of abdominal aorta suggestive of Stanford type B aortic dissection.

Results

The two babies were delivered by an emergent cesarean section and stent-graft placement of the descending thoracic aorta was performed on the mother thereafter.

Conclusion

This case report illustrates the value of comprehensive multidisciplinary discussion and collaboration among different departments to make quick decisions. Endovascular stent-graft repair may be the best option for the treatment of Stanford type B aortic dissection in late pregnancy.

Keywords

Pregnancy Aortic dissection Cesarean section Graft placement 
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Notes

Acknowledgments

We are indebted to Dr. Shang-Zhi Xu [Director at American Toxicology Institute; Diploma of American Board of Toxicology (DABT)] for proofreading and reviewing this manuscript.

Conflict of interest

None needs to be declared.

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Copyright information

© Royal Academy of Medicine in Ireland 2015

Authors and Affiliations

  • Qun Hao
    • 1
  • Hao Wang
    • 2
  • Cheng Zhang
    • 1
  • Ai-qing Ma
    • 1
  • Yuan-zhe Wu
    • 1
  1. 1.Department of Obstetrics and Gynecology, Jinling Hospital, School of MedicineNanjing UniversityNanjingChina
  2. 2.Department of General Surgery, Nanjing Drum Tower Hospital, School of MedicineNanjing UniversityNanjingChina

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