Evidence map›Paper›PMID 41126334›Full record

ArticleJournal of cardiothoracic surgery2025

A case of twin pregnancy with "precious fetuses" complicated by DeBakey type I aortic dissection.

Jianbo Xue, Yiming Ni, Jianbang He, Junsa Zhu

Abstract readCase Reports
In one paragraph

Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jianbo XueDepartment of Cardiothoracic Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, Zhejiang Province, China.
Yiming NiDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Zhejiang University School of Medicine, 79#, Qingchun Road, Hangzhou, 310000, Zhejiang Province, China. 1183020@zju.edu.cn.
Jianbang HeDepartment of Neonatal Intensive Care Unit, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, Zhejiang Province, China.
Junsa ZhuDepartment of Emergency, The First People's Hospital of Wuyi County, Jinhua, 321000, Zhejiang Province, China.

Funding

Jinhua Science and Technology Program 2024-3-054,2024-3-046
6 · The paper itself

Abstract

Aortic dissection during pregnancy is exceedingly rare yet life-threatening, presenting substantial risks to both the mother and fetus. Prompt diagnosis and intervention are critical for effective management. This report describes the case of a 37-year-old woman, pregnant with twins via assisted reproductive technology, who presented with sudden chest pain. Upon admission, she was diagnosed with a type I aortic dissection (DeBakey classification). Due to progressive fetal distress, an emergency cesarean section was performed, along with a simplified hysterectomy and aortic repair. Both the mother and infants were discharged in stable condition one month postoperatively. While the optimal treatment for acute type I aortic dissection in pregnancy remains controversial, this case demonstrates that aggressive surgical intervention, combined with careful perioperative management, can effectively safeguard the lives of the mother and fetus.

Indexed as

Aortic Aneurysm, ThoracicAortic DissectionPregnancy Complications, CardiovascularPregnancy, TwinAdultCesarean SectionFemaleHumansHysterectomyPregnancyAortic dissectionDeBakey classificationPrecious fetusTwin pregnancy

Identifiers

PMID41126334
PMCPMC12541935

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.