Perioperative management of aortic dissection using Bentall procedure in a pregnant woman at 20 weeks of gestation

Abstract

　Approximately half of all cases of aortic dissection in young women are related to pregnancy. We report a case of successful perioperative management of a 20-week pregnant woman with Marfan syndrome who developed left-sided heart failure due to Stanford type B aortic dissection. We successfully rescued both the mother and the child by performing the Bentall procedure under a normothermic cardiopulmonary bypass. When cardiac surgery with cardiopulmonary bypass is required for survival during the period when the fetus cannot survive outside the mother's body, both the maternal and fetal status should be considered for better perioperative management.