Chronic type B aortic dissection in a pregnant patient managed by simultaneous thoracic endovascular aortic repair and cesarean section in the hybrid operating room

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• 作者：Konstanze Stoberock ; MD ; ^{k.stoberock@uke.de" class="auth_mail" title="E-mail the corresponding author} ; Sabine Wipper ; MD ; Eike Sebastian Debus ; MD ; Thierry Somville ; MD ; Meike Rybczynski ; MD ; Tilo K&ouml ; lbel ; MD
• 刊名：Journal of Vascular Surgery Cases
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：2
• 期：1
• 页码：25-27
• 全文大小：749 K

文摘

We present the case of a 50-year-old gravida with a chronic Stanford type B aortic dissection with false lumen aneurysm and discuss a literature-based treatment strategy. She underwent oocyte donation in the United States and was seen in week 15 of gestation. We chose a strategy of “watchful waiting” at a constant aortic diameter of 52 mm on magnetic resonance imaging. In week 32 + 6 days, cesarean delivery was induced in a hybrid operating room with subsequent thoracic endovascular aortic repair to reduce the risk of early dilation and rupture during the nursing period. One year later, she cared for her healthy baby with stable aortic diameters.