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Yeungnam Univ J Med > Volume 10(1); 1993 > Article
Yeungnam University Journal of Medicine 1993;10(1):253-259.
DOI: https://doi.org/10.12701/yujm.1993.10.1.253    Published online June 30, 1993.
An aortic dissection in pregnant woman - a case report -.
Hyeong Min Lee, Eun Pyo Hong, Dong Hyup Lee, Jung Cheul Lee, Sung Sae Han, Dong Gu Sin, Young Jo Kim, Bong Sup Shim
Abstract
We have experienced a case of aortic dissecting aneurysm in pregnant woman. She felt initially severe chest pain which was radiated to the neck on the 3days before delivery. Thereafter dyspnea and generalized edema were developed for 1 month after delivery. She was diagnosed as aortic dissectLn, Debakey type-II. During cardiopulmonary bypass, the selective cerebral perfusion was done through the right and left commom carotid arteries. Aortic replacement with Hemashield vascular graft and reimplantation of innominate artery, resuspension of aortic valve, repair of intimal tear were performed. The postoperative course was uneventful.
Key Words: Aortic dissecting aneurysm, Pregnancy, Selective cerebral perfusion


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