Key result
Aortic dissection was successfully diagnosed via transesophageal echocardiography and managed with cesarean delivery and surgical repair in a pregnant woman with chronic hypertension and chest pain.
Case Report (n=1)
No
Highlights the importance of considering aortic dissection in pregnant women with chronic hypertension and intractable chest pain.
Answers are grounded in this paper and cite their sources.
May support considering aortic dissection in hypertensive pregnant women with chest pain; leaves open generalizability from this single case.
In Brief 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. Aortic dissection should be considered when a pregnant woman presents with preeclampsia superimposed on chronic hypertension with intractable chest pain.
No takes yet. Share an insight, caveat, or question.
Weissmann‐Brenner et al. (2004) conducted a case report in Aortic dissection in pregnancy (n=1). Transesophageal echocardiography, cesarean delivery, and surgical repair was evaluated. Aortic dissection was successfully diagnosed via transesophageal echocardiography and managed with cesarean delivery and surgical repair in a pregnant woman with chronic hypertension and chest pain.
Synapse has enriched 10 related papers. Consider them for comparative context: