Why the study?
A dissecting aortic aneurysm in pregnancy is rare and carries high maternal and fetal mortality, making prompt recognition and diagnosis critical.
Case Report (n=1)
No
This case demonstrates that severe chest pain in pregnancy requires high suspicion for aortic dissection, and concurrent emergency cesarean delivery and aortic repair can achieve favorable maternal-fetal outcomes.
Aortic aneurysm in pregnancy is uncommon. A dissecting aortic aneurysm in pregnancy is less common. If present, a dissecting aortic aneurysm can lead to poor outcomes for both the mother and the fetus, including death. Swift recognition of the signs and symptoms of a dissecting aortic aneurysm can prevent a delay in diagnosis and possibly improve maternal-fetal outcomes. The report discusses a case of a pregnant patient who experienced a dissecting aortic aneurysm in the second trimester despite having none of the commonly associated risk factors. The evaluation, diagnosis, and surgical management of dissecting aortic aneurysm in pregnancy are discussed.
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Sosa et al. (2022) conducted a case report in Ascending aortic aneurysm with dissection (n=1). Emergency cesarean delivery and concurrent Hemiarch repair was evaluated on Maternal and fetal survival.
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