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Updated: Aug 10, 2026
11:13
Porcine Model of Infrarenal Abdominal Aortic Aneurysm
Published on: November 21, 2019
Peripartum presentation of an acute aortic dissection
1Sir Humphry Davy Department of Anaesthesia, Bristol Royal Infirmary, Bristol, UK. slewis@talk21.com
British Journal of Anaesthesia
|January 11, 2005
Summary
A rare case of acute type A aortic dissection in a 35-year-old woman was initially missed. Prompt diagnosis and surgical repair after Caesarean delivery led to a successful outcome.
Area of Science:
- Cardiovascular Medicine
- Obstetrics and Gynecology
- Thoracic Surgery
Background:
- Acute type A aortic dissection is a life-threatening condition often presenting with nonspecific symptoms.
- Pregnancy is a known risk factor for aortic dissection due to hemodynamic changes.
Observation:
- A 35-year-old parturient presented with symptoms initially misdiagnosed.
- She underwent an emergency Caesarean section 3 weeks later.
- Postoperatively, she developed left ventricular failure and pulmonary edema.
Findings:
- Echocardiography confirmed acute type A aortic dissection.
- The patient required and underwent successful surgical repair of the aorta.
Implications:
- This case highlights the importance of considering aortic dissection in pregnant patients with atypical chest pain.
- Timely diagnosis and intervention are crucial for maternal survival in aortic emergencies during pregnancy.
- Multidisciplinary management involving cardiology, cardiothoracic surgery, and obstetrics is essential.
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