Surgical management of type A aortic dissection during the second trimester: a case report

Although AD during pregnancy is uncommon, clinicians must maintain a high index of suspicion for pregnant women presenting with severe chest pain. CTA is essential for diagnosing the condition and determining surgical options. After 28 weeks of pregnancy, cesarean section should be prioritized [17-18]. In the early second trimester, ensuring fetal safety involves appropriately increasing mean arterial pressure, minimizing circulatory arrest time, and closely monitoring the fetus post-surgery.