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Type A Aortic Dissection during in pregnancy: Can We Succeed? Fend-Off & Don’t Avert
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  • Mohammed Idhrees,
  • Matti Jubouri,
  • Mohamad Bashir,
  • Bashi Velayudhan
Mohammed Idhrees
SRM Institutes for Medical Science Vadapalani

Corresponding Author:[email protected]

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Matti Jubouri
Hull York Medical School
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Mohamad Bashir
Velindre University NHS Trust
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Bashi Velayudhan
SRM Institutes for Medical Science Vadapalani
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Abstract

Type A aortic dissection (TAAD) is a life-threatening clinical emergency requiring timely surgical intervention. Concomitant with pregnancy at any stage, it adds an additional level of complexity which mandates careful planning for the management strategy that will yield the optimal outcomes. It is life-threatening pathology to both the mother and foetus, with mortality rates of up to 30% and 50% reported, respectively. Safe imaging modalities that do no expose the foetus to radiation and contrast are recommended to reach an accurate diagnosis. In addition, meticulous multi-disciplinary team planning is pivotal to ensure optimal outcomes are achieved through careful choice of surgical technique as well as strict control of medications. Although TAAD in pregnancy is associated with high mortality and morbidity to both the mother and her foetus, success in the treatment of this small subset of patients can certainly be achieved.
13 Mar 2022Submitted to Journal of Cardiac Surgery
16 Mar 2022Assigned to Editor
16 Mar 2022Submission Checks Completed
16 Mar 2022Editorial Decision: Accept