Key result
A 41-year-old pregnant woman with acute Stanford type A aortic dissection underwent cesarean section and cardiovascular surgery but died of septic shock following ischemic bowels and perforation.
Why the study?
Aortic dissection is a rare but lethal disease, and this report documents a rare case of acute complicated Stanford type A aortic dissection in the third trimester of pregnancy.
Case Report (n=1)
Aortic dissection is a rare but lethal complication in pregnant women with chronic hypertension, and can be complicated by fatal bowel ischemia.
Emphasizes vigilance for bowel ischemia in pregnant aortic dissection; extends known complications while leaving optimal management open.
OBJECTIVE: Aortic dissection is a rare but lethal disease. We demonstrate a rare case of acute complicated Stanford type A aortic dissection in the third trimester. CASE REPORT: A 41-year-old primiparous patient with chronic hypertension was brought to our emergency department at 34 weeks of gestation. She presented with acute tearing chest pain radiating to her back. Computed tomography revealed a Stanford type A aortic dissection. Primary cesarean section followed by open cardiovascular surgery was performed. However, ischemic bowels and bowel perforation occurred on the 9th and 11th postoperative days, respectively, and the patient died of septic shock on the 12th postoperative day. CONCLUSION: Aortic dissection must be taken into consideration for pregnant women with chronic hypertension who present with acute tearing chest pain and pulseless unilateral extremities. Bowel ischemia may occur in patients with complicated Stanford type A aortic dissection.
No takes yet. Share an insight, caveat, or question.
Huang et al. (2020) conducted a case report in Stanford type A aortic dissection in pregnancy (n=1). Primary cesarean section followed by open cardiovascular surgery was evaluated on Clinical outcome (survival). A 41-year-old pregnant woman with acute Stanford type A aortic dissection underwent cesarean section and cardiovascular surgery but died of septic shock following ischemic bowels and perforation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: