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Obstetrics & Gynecology 2004;103:1110-1113
© 2004 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Aortic Dissection in Pregnancy

Alina Weissmann-Brenner, MD, Roy Schoen, MD and Michael Y. Divon, MD

Department of Obstetrics and Gynecology, Lenox-Hill Hospital, New York, New York

Address reprint requests to: Michael Y. Divon, MD, Department of Obstetrics and Gynecology, Lenox-Hill Hospital, 100 East 77th Street, New York, NY 10021; e-mail: mdivon{at}lenoxhill.net.

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.




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M. Tilak, J. Smith, D. Rogers, P. Fox, M. Muntazar, and M. Peyton
Successful near-term pregnancy outcome after repair of a dissecting thoracic aortic aneurysm at 14 weeks gestation: [Denouement heureux d'une grossesse menee presque a terme a la suite de la reparation d'un anevrysme dissequant de l'aorte thoracique a 14 semaines de gestation]
Can J Anesth, December 1, 2005; 52(10): 1071 - 1075.
[Abstract] [Full Text] [PDF]


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