{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:55:25Z","timestamp":1777694125167,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2024,1]]},"abstract":"\n Objective:<\/jats:title>\n Aortic dissection, a rare but serious condition, requires timely diagnosis and treatment.<\/jats:p>\n <\/jats:sec>\n \n Case report:<\/jats:title>\n A case report involving a 33-year-old female with Stanford type B aortic dissection at 32\u2009+\u20093\u2009weeks gestational age highlights the importance of being alert to the symptoms and signs of this condition, particularly in patients with hypertension or a history of connective tissue disorders. The case report suggests a delivery first strategy followed by TEVAR procedure as the preferred approach for managing aortic dissection in pregnancy. This approach can alleviate pressure on the aorta, reduce the risk of rupture, and provide time for stabilization and preparation for the TEVAR procedure.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The case report emphasizes the criticality of recognizing and treating aortic dissection in pregnant patients promptly, given its potential life-threatening impact on both mother and fetus.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/11795476241265270","type":"journal-article","created":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T03:20:16Z","timestamp":1722050416000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Delivery-First Strategy Followed by Endovascular Repair to Treat Pregnant Woman With Acute Complicated Type B Aortic Dissection"],"prefix":"10.1177","volume":"17","author":[{"given":"Chen Ming","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Mennonite Christian Hospital, Hualien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen-Hua","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Mennonite Christian Hospital, Hualien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao-Chin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan"},{"name":"Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Ting","family":"Chuang","sequence":"additional","affiliation":[{"name":"Department of Medical Education and Research, Mennonite Christian Hospital, Hualien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-Yi","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mennonite Christian Hospital, Hualien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Yuan","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mennonite Christian Hospital, Hualien, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,27]]},"reference":[{"key":"bibr1-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.10.029"},{"key":"bibr2-11795476241265270","doi-asserted-by":"publisher","DOI":"10.5603\/GP.2019.0052"},{"key":"bibr3-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(03)00169-3"},{"key":"bibr4-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.12.066"},{"key":"bibr5-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.35.1.262"},{"key":"bibr6-11795476241265270","first-page":"336","volume":"83","author":"Manalo-Estrella P","year":"1967","journal-title":"Arch Pathol"},{"key":"bibr7-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy340"},{"key":"bibr8-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.11.072"},{"key":"bibr9-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001106"},{"key":"bibr10-11795476241265270","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22165"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241265270","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476241265270","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476241265270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:14:30Z","timestamp":1777454070000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476241265270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":10,"alternative-id":["10.1177\/11795476241265270"],"URL":"https:\/\/doi.org\/10.1177\/11795476241265270","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"11795476241265270"}}