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The goal of the present study was to characterize the prevalence, treatment and outcomes of this dangerous condition in an effort to determine optimal management. Methods: A retrospective study was conducted using data from four Marfan patients with acute type A aortic dissection during pregnancy at our institution between 1991 and 2003. Results: The mean gestational period at the time of operative repair was 31 weeks, with a range of 26-34 weeks, and the aortic root diameter ranged from 35 to 85 mm. Two of the four patients underwent a combined operation with cesarean section followed by aortic repair. One patient underwent operative aortic repair following spontaneous delivery. The final patient underwent aortic repair with the fetus remaining in situ. Median sternotomy and cardiopulmonary bypass were established via the femoral artery with direct right atria drainage and left atrial venting in all patients. Composite graft replacement combined with re-implantation of the coronary artery and aortic valve replacement were performed in three patients, and aortic valve replacement with coronary artery bypass grafting of the right coronary artery was performed in one patient. Three of four patients underwent aortic arch repair utilizing antegrade cerebral perfusion and deep hypothermia with total circulatory arrest. The patient that underwent operative correction with the fetus remaining in situ experienced fetal demise with miscarriage just after cardiac surgery, and the patient died 4 days later secondary to disseminated intravascular coagulation and multi-organ failure. The remaining three cases recovered uneventfully, and the mothers and babies were discharged in good condition. Conclusions: Based on these data, we advocate cesarean section with concomitant aortic repair for patients with Marfan syndrome and acute type A aortic dissection during pregnancy. 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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Surgery for acute type A aortic dissection in pregnant patients with Marfan syndrome

http://hdl.handle.net/10091/234
http://hdl.handle.net/10091/234
689390fb-452c-4eb3-95c8-2a690dca1839
名前 / ファイル ライセンス アクション
Acute Acute type A aortic dissection during pregnancy.pdf (56.8 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2007-06-04
タイトル
言語 en
タイトル Surgery for acute type A aortic dissection in pregnant patients with Marfan syndrome
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Sakaguchi, M

× Sakaguchi, M

WEKO 8779

en Sakaguchi, M

Search repository
Kitahara, H

× Kitahara, H

WEKO 8780

en Kitahara, H

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Seto, T

× Seto, T

WEKO 8781

en Seto, T

Search repository
Furusawa, T

× Furusawa, T

WEKO 8782

en Furusawa, T

Search repository
Fukui, D

× Fukui, D

WEKO 8783

en Fukui, D

Search repository
Yanagiya, N

× Yanagiya, N

WEKO 8784

en Yanagiya, N

Search repository
Nishimura, K

× Nishimura, K

WEKO 8785

en Nishimura, K

Search repository
Amano, J

× Amano, J

WEKO 8786

en Amano, J

Search repository
信州大学研究者総覧へのリンク
氏名 Seto, T
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.HNfCuakh.html
出版者
出版者 ELSEVIER SCIENCE BV
引用
内容記述タイプ Other
内容記述 European journal of cardio-thoracic surgery. 28(2): 280-283 (2005)
書誌情報 European journal of cardio-thoracic surgery

巻 28, 号 2, p. 280-283, 発行日 2005-08
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ PISSN
収録物識別子 1010-7940
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA1072688X
他の資源との関係:URI
識別子タイプ URI
関連識別子 http://www.elsevier.com/locate/issn/10107940
関連名称 http://www.elsevier.com/locate/issn/10107940
PubMed
識別子タイプ PMID
関連識別子 https://pubmed.ncbi.nlm.nih.gov/15939618
関連名称 15939618
DOI
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.ejcts.2005.02.047
関連名称 10.1016/j.ejcts.2005.02.047
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
表示名 Web of Science
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000231351800023
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