Key result
A 44-year-old multiparous woman in her 32nd week of pregnancy died from sudden cardiovascular shock due to spontaneous ascending aortic dissection, though her infant survived via emergency cesarean section.
Case Report (n=1)
No
This case highlights the critical importance of considering aortic dissection in pregnant women presenting with atypical chest pain and hemodynamic instability, particularly when there is a family history of sudden death.
Aortic dissection is a rare entity. Half of the aortic dissection cases occur during pregnancy in women under the age of 40. The authors report a case of a multiparous woman at the third trimester of her sixth pregnancy, who died from a sudden and intractable cardiovascular shock. Autopsy revealed the dissection of the ascending aorta. The case is interesting, especially because in the pregnant woman's family it was not the first sudden death during pregnancy. Authors review the relevant literature regarding the symptoms and the genetic basis of this rare but potentially lethal complication of pregnancy.
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Pánczél et al. (2011) conducted a case report in Spontaneous aortic rupture / Aortic dissection (n=1). Pregnancy was evaluated on Maternal and fetal outcome following aortic rupture. A 44-year-old multiparous woman in her 32nd week of pregnancy died from sudden cardiovascular shock due to spontaneous ascending aortic dissection, though her infant survived via emergency cesarean section.
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