Hybrid Endovascular and Open Surgical Approach To An Acute Type-A Aortic Dissection In A Pregnant Female With Marfan Syndrome

Acute aortic dissection can represent one of the most complex diseases treated by vascular surgeons. Presented is a 39-year-old female with Marfan Syndrome and previous aortic interventions with acute type-A aortic dissection complicated by visceral and cerebral malperfusion. The case was further complicated by twin pregnancy, active anticoagulation for mechanical aortic valve, ectopia lentis syndrome of the right eye and TIA involving the left eye, and rupture of the remaining native ascending aorta requiring cardiopulmonary bypass and hypothermic circulatory arrest with a 26-week twin pregnancy.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research