TY - JOUR
T1 - Aortic dissection in pregnancy.
AU - Weissmann-Brenner, Alina
AU - Schoen, Roy
AU - Divon, Michael Y.
PY - 2004/5
Y1 - 2004/5
N2 - BACKGROUND: Aortic dissection is a rare but life-threatening disease. The most common predisposing cause is chronic hypertension. CASE: A 38-year-old multipara with chronic hypertension was admitted at 38 weeks of gestation reporting new-onset severe chest pain. Cardiac enzymes, blood gases, electrocardiogram, and chest radiograph were normal. The chest pain and the hypertension worsened despite treatment with narcotics. Bedside transesophageal echocardiography revealed aortic dissection. Uneventful cesarean delivery was followed by surgical repair of the aorta. CONCLUSION: Aortic dissection should be considered when a pregnant woman presents with preeclampsia superimposed on chronic hypertension and intractable chest pain.
AB - BACKGROUND: Aortic dissection is a rare but life-threatening disease. The most common predisposing cause is chronic hypertension. CASE: A 38-year-old multipara with chronic hypertension was admitted at 38 weeks of gestation reporting new-onset severe chest pain. Cardiac enzymes, blood gases, electrocardiogram, and chest radiograph were normal. The chest pain and the hypertension worsened despite treatment with narcotics. Bedside transesophageal echocardiography revealed aortic dissection. Uneventful cesarean delivery was followed by surgical repair of the aorta. CONCLUSION: Aortic dissection should be considered when a pregnant woman presents with preeclampsia superimposed on chronic hypertension and intractable chest pain.
UR - http://www.scopus.com/inward/record.url?scp=2542424928&partnerID=8YFLogxK
U2 - 10.1097/01.aog.0000124984.82336.43
DO - 10.1097/01.aog.0000124984.82336.43
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C2 - 15121626
AN - SCOPUS:2542424928
SN - 0029-7844
VL - 103
SP - 1110
EP - 1113
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 5 Pt 2
ER -