Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2019; 7(18): 2843-2850
Published online Sep 26, 2019. doi: 10.12998/wjcc.v7.i18.2843
Successful repair of acute type A aortic dissection during pregnancy at 16th gestational week with maternal and fetal survival: A case report and review of the literature
Su-Wei Chen, Yong-Liang Zhong, Yi-Peng Ge, Zhi-Yu Qiao, Cheng-Nan Li, Jun-Ming Zhu, Li-Zhong Sun
Su-Wei Chen, Yong-Liang Zhong, Yi-Peng Ge, Zhi-Yu Qiao, Cheng-Nan Li, Jun-Ming Zhu, Li-Zhong Sun, Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Su-Wei Chen, Yong-Liang Zhong, Yi-Peng Ge, Zhi-Yu Qiao, Cheng-Nan Li, Jun-Ming Zhu, Li-Zhong Sun, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Su-Wei Chen, Yong-Liang Zhong, Yi-Peng Ge, Zhi-Yu Qiao, Cheng-Nan Li, Jun-Ming Zhu, Li-Zhong Sun, Beijing Institute of Heart, Lung, and Blood Vessel Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Su-Wei Chen, Yong-Liang Zhong, Yi-Peng Ge, Zhi-Yu Qiao, Cheng-Nan Li, Jun-Ming Zhu, Li-Zhong Sun, Beijing Engineering Research Center of Vascular Prostheses, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Author contributions: Chen SW, Zhong YL, Ge YP, Qiao ZY, and Li CN reviewed the literature; Chen SW drafted the manuscript; Zhu JM and Sun LZ were responsible for revising the manuscript for important intellectual content; and all of the authors approved the final version to be published.
Supported by Beijing Major Science and Technology Projects from Beijing Municipal Science and Technology Commission, No. Z171100001017083; National Science and Technology Support Program of China, No. 2015BAI12B03; Beijing Lab for Cardiovascular Precision Medicine, No. PXM2017_014226_000037.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jun-Ming Zhu, MD, Chairman, Chief Doctor, Director, Professor, Surgeon, Professor and Doctoral Supervisor of Cardiac Surgery, Department of Cardiovascular Surgery, Beijing Anzhen Hospital, 2 Anzhen Road, Chaoyang District, Beijing 100029, China. anzhenzjm@126.com
Telephone: +86-10-64456588 Fax: +86-10-64456588
Received: March 22, 2019
Peer-review started: March 22, 2019
First decision: July 30, 2019
Revised: August 21, 2019
Accepted: August 25, 2019
Article in press: August 26, 2019
Published online: September 26, 2019
Core Tip

Core tip: Aortic dissection during pregnancy is a rare but life-threatening event for mothers and fetuses. The successful repair of a sporadic aortic dissection with maternal and fetal survival in the early second trimester is exceedingly rare. This case highlights that a fetus in the second trimester may have a high possibility of survival and healthy growth after aortic arch surgery using hypothermic circulatory arrest.