Acute Type A Aortic Dissection and Late Pregnancy: What Should We Do?

ABSTRACT Introduction: Acute type A aortic dissection (AAAD) in late pregnancy is a rare but severe disease. Lack of clinical experience is the main cause of high mortality. This study tries to investigate the multidisciplinary therapeutic strategy for these patients. Case presentation: We reported three patients with AAAD in late pregnancy. Sudden chest pain was the main clinical symptom before operation. All three patients and their newborns survived through multidisciplinary approach in diagnosis and treatment. No serious complications occurred during the mid-term follow-up. Conclusion: Multidisciplinary diagnosis and treatment strategy play a crucial role in saving the lives of pregnant women with AAAD.

摘要：
引言：妊娠晚期急性A型主动脉夹层（Acute type A aortic dissection, AAAD）是一种罕见但危重的疾病，临床经验不足是其高死亡率的主要诱因。本研究旨在探讨此类患者的多学科诊疗策略。
病例报告：本文报道3例妊娠晚期合并AAAD的患者，术前主要临床症状为突发胸痛。通过多学科联合诊疗模式，3例患者及其新生儿均顺利存活，中期随访期间未出现严重并发症。
结论：多学科诊疗策略在挽救妊娠晚期AAAD患者生命的过程中发挥关键作用。