Peripartum aortic dissection

被引：0

作者：

Pachler, C. ^{[1
]}

Knez, I. ^{[2
]}

Petru, E. ^{[3
]}

Doerfler, O. ^{[4
]}

Vicenzi, M. ^{[1
]}

Toller, W. ^{[1
]}

机构：

[1] Univ Klin Anasthesie & Intens Med Graz, Klin Abt Anasthesie Herz & Gefasschirurg & Intens, A-8036 Graz, Austria

[2] Univ Klin Chirurg Graz, Klin Abt Herzchirurg, Graz, Austria

[3] Univ Klin Frauenheilkunde & Geburtshilfe Graz, Schwerpunkt Konservat Gynakol Onkol, Graz, Austria

[4] Univ Klin Radiol Graz, Graz, Austria

来源：

ANAESTHESIST | 2013年 / 62卷 / 04期

关键词：

Pregnancy; Pregnancy complications; cardiovascular; Caesarean section; Echocardiography; Anesthesia; PREGNANCY;

D O I：

10.1007/s00101-013-2153-2

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 29-year-old primagravida developed severe chest pains during labor. An emergency caesarean section was performed as the symptoms persisted. Imaging diagnosis immediately after delivery revealed an acute proximal (type A) aortic dissection. The patient was transferred to the nearest cardiothoracic surgery centre and successful emergency surgical aortic repair was performed. The perioperative course of a type A aortic dissection during pregnancy and labor is complicated by time pressure, diagnostic restrictions until delivery and potentially fatal uterine bleeding during cardiopulmonary bypass and hypothermic cardiac arrest. This case report describes the diagnosis and the surgical, anesthesiological and gynecological management of this life-threatening peripartum complication.

引用

页码：293 / 295

页数：3

共 7 条

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