Aortic dissection is a rare and emergent condition. Aortic dissection during pregnancy is not much known but it is quite lethal to both mother and infant. Earlier reports published show that clinicians conducted hysterectomies during cesarean section to avoid anticoagulant-induced uterine bleeding during the following aortic surgery. A woman (38, gravida 1, para 0) in the 37th gestational week suffered an acute, severe, sharp pain in the chest and back. She was diagnosed with Standford type A aortic dissection and suspected with Marfan syndrome. An emergency cesarean section was performed immediately to deliver the baby. Since the patient was on anticoagulants during aortic replacement, so Cook balloon was inserted into the uterus to prevent postpartum hemorrhage. This helped to maintain the uterus intact. Family genetic testing showed that the patient was a carrier of FBN1 mutation which was inherited from the patient’s mother, and the newborn also carried the mutation. Hence the patient was concluded to be positive for Marfan syndrome. It is important that clinicians should pay attention to the possibility of aortic dissection in a pregnant woman with chest, abdominal or back pain. In this case study, we employed Cook balloon during cesarean section to avoid anticoagulant-induced uterine bleeding during the following aortic surgery.

中文翻译：

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烹调气球在孕马凡氏综合征孕妇主动脉置换中的应用：一例报告

主动脉夹层是一种罕见的紧急情况。怀孕期间主动脉夹层并不为人所知，但对母婴均具有致命性。较早发表的报告显示，临床医生在剖宫产时进行了子宫切除术，以避免在随后的主动脉手术中因抗凝剂引起的子宫出血。妊娠第37周的一名妇女（38岁，妊娠1，第0段）的胸部和背部遭受了剧烈，剧烈的剧烈疼痛。她被诊断出患有Standford A型主动脉夹层，并怀疑患有Marfan综合征。立即进行紧急剖腹产以分娩婴儿。由于患者在主动脉置换过程中使用抗凝剂，因此将Cook球囊插入子宫以防止产后出血。这有助于保持子宫完整。家庭基因测试表明，该患者是FBN1突变的携带者，该突变是从患者的母亲那里继承而来的，新生儿也带有该突变。因此，该患者被认为是马凡氏综合症阳性。重要的是，临床医生应注意患有胸部，腹部或背部疼痛的孕妇进行主动脉夹层的可能性。在本案例研究中，我们在剖宫产时使用了Cook球囊，以避免在随后的主动脉手术中因抗凝剂引起的子宫出血。腹部或背部疼痛。在本案例研究中，我们在剖宫产时使用了Cook球囊，以避免在随后的主动脉手术中因抗凝剂引起的子宫出血。腹部或背部疼痛。在本案例研究中，我们在剖宫产时使用了Cook球囊，以避免在随后的主动脉手术中因抗凝剂引起的子宫出血。