Putnik, Svetozar M. (16550571800)Svetozar M. (16550571800)PutnikNikolić, Bojan D. (58429359300)Bojan D. (58429359300)NikolićDivac, Ivan A. (57205046248)Ivan A. (57205046248)DivacRistić, Miljko N. (57214043577)Miljko N. (57214043577)Ristić2025-06-122025-06-122011https://doi.org/10.1532/HSF98.20111023https://www.scopus.com/inward/record.uri?eid=2-s2.0-80054840325&doi=10.1532%2fHSF98.20111023&partnerID=40&md5=3217270799d3f13603c22c4355e06cb2https://remedy.med.bg.ac.rs/handle/123456789/9991Aortic dissection during pregnancy is a potentially catastrophic clinical condition and can be lethal to both mother and fetus. The treatment of aortic dissection in pregnancy is based on location, severity, and gestational age. We report a case of acute aortic dissection in a 30-year-old female patient in her 26th week of gestation. Ascending aorta resection and interposition of a 26-mm Dacron graft was carried out without circulatory arrest by means of a double-felt "sandwich"technique on both anastomoses. The patient was discharged from the hospital 10 days after her initial admission. At the 34th week of gestation, the patient delivered a healthy baby by cesarean section. Because our patient was hemodynamically unstable, our aim at the 26th week of gestation was to perform a simplified surgical procedure, to avoid circulatory arrest, and to maintain a high perfusion pressure, in order to save the patient's life and to decrease the potential risk of damage to the fetus. © 2011 Forum Multimedia Publishing, LLC.