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Acute Type A Aortic Dissection during Pregnancy: Trials and Tribulations
  • +2
  • Lara Rimmer,
  • Jessica Heyward-Chaplin,
  • Matthew South,
  • Mohamed Gouda,
  • Mohamad Bashir
Lara Rimmer
East Lancashire Hospitals NHS Trust
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Jessica Heyward-Chaplin
East Lancashire Hospitals NHS Trust
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Matthew South
East Lancashire Hospitals NHS Trust
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Mohamed Gouda
Mataria Teaching Hospital
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Mohamad Bashir
Royal Blackburn Teaching Hospital
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Abstract

Type A acute aortic dissection (TAAD) during pregnancy is a life-threatening event for both the mother and unborn baby. Pregnancy has been recognised as an independent risk factor for TAAD, postulated to be due to physiological changes that cause hyperdynamic circulation. Presentation can be atypical in many cases and further concern from clinicians of fetal radiation exposure can result in missed or delayed diagnoses. Investigation via quickest form of imaging, whether CT, MRI or transoesophageal echocardiography, should be carried out promptly due to the high risk of mortality. Surgical management of TAAD in pregnancy revolves primarily around the decision to deliver the foetus concomitantly or to perform aortic repair with the foetus in utero. This review will summarise the difficulties faced when managing TAAD in pregnancy, and important questions for future research.

Peer review status:ACCEPTED

13 Aug 2020Submission Checks Completed
13 Aug 2020Assigned to Editor
13 Aug 2020Reviewer(s) Assigned
14 Aug 2020Review(s) Completed, Editorial Evaluation Pending
14 Aug 2020Editorial Decision: Revise Minor
04 Sep 20201st Revision Received
09 Sep 2020Submission Checks Completed
09 Sep 2020Assigned to Editor
09 Sep 2020Reviewer(s) Assigned
09 Sep 2020Review(s) Completed, Editorial Evaluation Pending
09 Sep 2020Editorial Decision: Accept