ArticleBMC pregnancy and childbirth2026
Management strategies for acute type A aortic dissection during pregnancy: a single-center retrospective experience.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Successful management of acute type A aortic dissection in late pregnancy: a case report.Journal of cardiothoracic surgery · 2026Article
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Abstract
backgroundAcute type A aortic dissection (ATAAD) is very rare during pregnancy, it is a devastating condition, and there is no established management guideline. This study shares our center’s observations and management experience to provide a practical reference for developing individualized clinical strategies.
methodsA total of 12 pregnant patients with acute type A aortic dissection, confirmed by CTA and managed surgically, were included from Union Hospital of Fujian Medical University between January 2014 and September 2024.
resultsA total of 12 patients were included, with a mean age of 30.83 years and a gestational age at admission ranging from 11 weeks and 4 days to 40 weeks and 1 day. Comorbidities included Marfan syndrome (n = 4), gestational hypertension (n = 1), and diabetes mellitus (n = 2). Surgically, 7 patients underwent a Bentall procedure, 4 underwent an isolated Sun’s procedure, and 1 received a combined Sun’s procedure and coronary artery bypass grafting (CABG). The in-hospital mortality rate was 16.7% (2/12). There were four fetal deaths, one due to preexisting malformation and three following elective termination due to early gestational age. At the 1-year follow-up, all surviving patients and their newborns were living normally without significant complications.
conclusionThis single-center study demonstrates that for pregnant patients with ATAAD, timely surgical repair, when managed by a multidisciplinary team, is a feasible strategy and is associated with favorable maternal and fetal outcomes.
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