Aortic dissection in pregnancy.

Alina Weissmann-Brenner*, Roy Schoen, Michael Y. Divon

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1110-1113
Number of pages4
JournalObstetrics and Gynecology
Volume103
Issue number5 Pt 2
DOIs
StatePublished - May 2004
Externally publishedYes

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