The patient, Ms. S.K (1989, a Cambodian national, pregnant for the third time, was taken to Cho Ray Hospital in mid-October in a state of severe chest pain. The diagnostic results showed that she had Marfan syndrome accompanied by a type A acute atherosclerosis and a large aneurysm in the atherosclerosis, a situation that directly threatened the lives of both mother and fetus.
According to Dr. Nguyen Thai An - Head of the Department of Cardiovascular Surgery, Cho Ray Hospital, Ho Chi Minh City, early detection and timely referral play a decisive role. Sternal artery dissection A is an emergency emergency cardiovascular emergency, with an hourly increase in the risk of death and is especially dangerous in late pregnancy, when circulation and blood pressure increase sharply. In this case, the doctor must simultaneously protect the lives of two patients: the mother and fetus.
Faced with a critical situation, Cho Ray's crew urgently coordinated with obstetricians and gynecologists at Hung Vuong Hospital to make an optimal plan.
The biggest challenge is the risk of bleeding after cesarean section, especially for patients with severe uterine artery disease. Therefore, it is necessary to choose the time of intervention very accurately, said BSCKII Nguyen Thai An. The two teams agreed to perform first cesarean section. The baby boy was born safely, and measures to prevent postpartum thrombosis were taken right in the operating room.
About 2436 hours after giving birth, when the condition was stable, the patient was transferred to surgery to remove the aorta. This is a particularly complicated surgery, due to widespread damage and a largelecular artery, with a severe valve opening.
The team decided to replace the entire base and the main artery with an artificial blood vessel, but still preserve the natural valve to avoid having to use anticoagulants for life. The surgery lasted 8 hours and went smoothly, helping the patient recover well.
According to experts, Marfan syndrome has a population of 1/3,000-1/5,000. Although relatively common in the group of inherited connective tissue diseases, not everyone experiences serious complications such as fans or atherosclerosis during pregnancy. For many years, Cho Ray only recorded about 5 mothers with uterine artery damage and were all saved; in the case of Ms. S.K, it was the first case directly related to Marfan.
The doctor recommends that people with Marfan need to be monitored periodically to detect a master artery aneurysm early and have proactive surgery when necessary. Women who intend to become pregnant should have a cardiovascular and an ultrasound of their home artery before conception; relatives of the patient also need to be screened for genetic screening.
"Triple periods make the circulatory system work much harder and can make underlying diseases worse. If detected early, modern medicine can completely protect both mother and child, Dr. Nguyen Thai An emphasized.
