This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Mohamed Fahmy Ibrahim Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Ibrahim, M. F. Articles by Refaut, A. A. Search for Related Content PubMed PubMed Citation Articles by Ibrahim, M. F. Articles by Refaut, A. A. Related Collections Related Article

ICVTS on-line discussion A Women with Marfan syndrome

PSHC, King Fahd Medical City, Riyadh, Saudi Arabia

Recurrent type B intramural hematoma progressed into type A acute aortic dissection in a young otherwise healthy woman: are there unknown background factors?

eComment: Concerning the case report described by Baek et al. [1], we recently encountered a multiparous woman with Marfan syndrome in her 8th week of gestation who presented with acute type A aortic dissection. After reviewing the literature, it seems that pregnancy is a risk factor for the development of aortic dissection in this subset of patients. My question is about the history of pregnancy in Baek's patient. I also agree with the author's comment in the discussion that the frozen elephant technique would have been a perfect option for this patient. Another option would be to tackle the ascending aorta surgically, as done by Baek et al., and then as a hybrid technique to deploy a percutaneous stent graft for the distal intimal disruption.

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1. Baek WK, Yoon YH, Kim JT, Kim KH. Recurrent type B intramural hematoma progressed into type A acute aortic dissection in a young otherwise healthy woman: are there unknown background factors? Interact CardioVasc Thorac Surg 2007; 6:255–256.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Mohamed Fahmy Ibrahim Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Ibrahim, M. F. Articles by Refaut, A. A. Search for Related Content PubMed PubMed Citation Articles by Ibrahim, M. F. Articles by Refaut, A. A. Related Collections Related Article