Key result
A 19-year-old woman with preeclampsia suffered a fatal DeBakey type III aortic dissection and cardiopulmonary arrest 5 hours after an emergency cesarean section.
Case Report (n=1)
No
Aortic dissection should be strongly suspected in pregnant or postpartum women with preeclampsia who complain of severe dyspnea or chest pain to prevent fatal delays in diagnosis.
Answers are grounded in this paper and cite their sources.
Fatal aortic dissection can occur postpartum in preeclampsia; this case leaves open whether heightened vigilance alters outcomes.
Aortic dissection is very rare in obstetrics, but it is a fatal disease. A 37-weeks primigravida woman with dyspnea and pitting edema presented to our emergency room. The patient was diagnosed with preeclampsia and underwent an emergency cesarean section under spinal anesthesia. The patient complained of severe dyspnea after the cesarean section, and the chest computed tomography scan was done. With the finding of aortic dissection, cardiopulmonary arrest occurred 5 hours after the cesarean section, and the patient died without reaction to cardio-pulmonary resuscitation. If a patient with preeclampsia complains of severe dyspnea or chest pain, aortic dissection needs to be suspected and a diagnosis should not be delayed.
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Park et al. (2016) conducted a case report in Aortic dissection accompanied by preeclampsia (n=1). Preeclampsia was evaluated on Clinical outcome. A 19-year-old woman with preeclampsia suffered a fatal DeBakey type III aortic dissection and cardiopulmonary arrest 5 hours after an emergency cesarean section.
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