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KMID : 0356920160690010076
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Korean Journal of Anesthesiology
2016 Volume.69 No. 1 p.76 ~ p.79
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Stanford type A aortic dissection in a patient with Marfan syndrome during pregnancy: a case report
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:Kim Won-Ho
:Bae Ji-sue/:Kim Chung-Su/:Lee Jong-Hwan/:Choi Seung-Won/:Cho Hyun-Sung/:Lee Sang-Min
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Abstract
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Aortic dissection during pregnancy is a devastating event for both the pregnant woman and the baby. We report a case of acute aortic dissection (Stanford type A) in a pregnant woman with Marfan syndrome at the 29th week of gestation. She underwent a cesarean section followed by an ascending aorta and total arch replacement with cardiopulmonary bypass, without a prior sternotomy. The hemodynamic parameters were kept stable during the cesarean section by using inotropes and vasopressors under transesophageal echocardiography monitoring. The newborn survived after endotracheal intubation and management in a neonatal intensive care unit.
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KEYWORD
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Aortic dissection, Echocardiography, Marfan syndrome, Pregnancy
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