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Asian Cardiovasc Thorac Ann 2007;15:e63-e65
© 2007 Asia Publishing EXchange Ltd

CASE STUDIES

Two Surgical Cases of Acute Aortic Dissection in Pregnancy with Marfan Syndrome

Hidetaka Wakiyama, MD, Michihiro Nasu, MD, Hiroshi Fujiwara, MD, Aki Kitamura, MD, Yukikatsu Okada, MD

Department of Cardiovascular Surgery, Kobe General Hospital, Kobe, Japan

For reprint information contact: Hidetaka Wakiyama, MD, Tel: 81 78 3024321, Fax: 81 78 302 2487, email: hidewacky{at}aol.com, Department of Cardiovascular Surgery, Kobe General Hospital, Minatojima, Naka-Machi 4-6, Chuo-Ku, Kobe 650-0046, Japan.

We describe 2 surgical cases of acute aortic type A dissection during pregnancy in women with Marfan syndrome. Both of them underwent emergency aortic root replacement under deep hypothermia; one patient was in her 21st week of pregnancy and the other was treated 1 day after a normal delivery. The patients experienced fair postoperative courses, but intrauterine fetus death was confirmed in the first case.






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