• Arch Mal Coeur Vaiss · Feb 2000

    Case Reports

    [Aortic dissection at 6 months gestation in a women with Marfan's syndrome. Simultaneous Bentall intervention and cesarean section].

    • G Jondeau, P Nataf, A Belarbi, J C Farcot, B Iung, G Delorme, I Gandjbakhch, and J P Bourdarias.
    • Service de cardiologie, hôpital Ambroise-Paré, Boulogne.
    • Arch Mal Coeur Vaiss. 2000 Feb 1;93(2):185-7.

    AbstractA 31 year old woman with Marfan's syndrome had a dilatation of the aortic root (55-60 mm at the beginning of pregnancy). Pregnancy was continued with beta-blocker therapy and with regular echocardiographic follow-up. The aortic dilatation increased (62-65 mm) at the last control and, at the 34th week of pregnancy, the patient suffered a dissection of the ascending aorta. A caesarean section was performed with a Bentall procedure during the same operative session. The mother and baby girl are well two years later. The problems of pregnancy in patients with Marfan's syndrome are discussed.

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