PURPOSE: We report the anesthetic management for a scheduled Cesarean section of a 29-yr-old female who previously had a repair of her dissecting @entity2334 during the 14th week of her pregnancy. CLINICAL FEATURES: A 29-yr-old female with a history of @entity101 and previously diagnosed aortic dissection secondary to suspected @entity1614 , presented to our institution for the first time after she became pregnant. A transesophageal echocardiogram revealed a dissecting aortic @entity439 greater than 8 cm in diameter beginning distal to the left subclavian artery and extending into the descending thoracic aorta. The @entity1 was counseled in great detail about the risk of @entity397 with continuing pregnancy. She refused termination and chose elective repair of the @entity439 , with continuation of the pregnancy. Partial repair of the thoracic @entity439 was undertaken when the pregnancy was 13(5/7) weeks by ultrasound dates. She was subsequently maintained on @entity6555 and @entity2514 for blood pressure control. A decision was made to proceed with a Cesarean section at 32 weeks. After placement of a radial artery catheter and two large peripheral iv catheters, she received a of 7 and 7 at one and five minutes was delivered. CONCLUSIONS: @entity1580 in pregnancy may have catastrophic results. Undoubtedly, it presents unique challenges for anesthetic and obstetrical management. With appropriate care and surgical correction of the dissecting @entity439 early in pregnancy, a successful outcome for the pregnancy was possible.

Successful near-term pregnancy outcome after repair of a dissecting XXXX at 14 weeks gestation.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6555 :: ('MESH:D007741', 'Chemical') :: ['labetolol'] @entity1614 :: ('MESH:D008382', 'Disease') :: ["Marfan's syndrome"] @entity2514 :: ('MESH:D006830', 'Chemical') :: ['hydralazine'] @entity2334 :: ('MESH:D017545', 'Disease') :: ['thoracic aortic aneurysm'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysm'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity1580 :: ('MESH:C562834', 'Disease') :: ['Aortic dissection']
@entity2334 :: (MESH:D017545,Disease) :: ['thoracic aortic aneurysm']
