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Aneurysm I: Introduction

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...

Aortic Regurgitation I: Introduction

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Aneurysm IV: Nursing Management

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Updated: Jun 8, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Aortic dissection accompanied by preeclampsia and preterm labor.

Huriye Ayse Parlakgumus¹, Bulent Haydardedeoglu, Ozlem Alkan

¹Department of Obstetrics and Gynecology, Baskent University School of Medicine, Ankara, Turkey. ayseparlakgumus@yahoo.de

The Journal of Obstetrics and Gynaecology Research

|September 18, 2010

Summary

Aortic dissection is a rare but fatal condition in pregnant patients. Suspicion is crucial for atypical epigastric pain, even with preeclampsia signs, to improve maternal outcomes.

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Area of Science:

Cardiovascular Medicine
Obstetrics and Gynecology
Vascular Surgery

Background:

Aortic dissection is a life-threatening condition rarely seen in obstetric settings.
Pregnancy increases the risk of aortic dissection due to physiological changes.
Early diagnosis and management are critical for maternal survival.

Observation:

A multiparous woman at 33 weeks gestation presented with epigastric pain, diagnosed with preeclampsia and preterm labor.
Following an emergent cesarean delivery, her symptoms persisted, leading to further investigation.
Computed tomography revealed aortic dissection, splenic and hepatic infarcts, and intestinal dilation.

Findings:

The patient underwent ascending aorta replacement and extensive intestinal resection.
Despite surgical intervention, she experienced cardiopulmonary arrest nine hours post-operation.
This case highlights the diagnostic challenges of aortic dissection in pregnancy.

Implications:

Aortic dissection must be considered in pregnant patients with unexplained epigastric pain, even with coexisting preeclampsia or preterm labor.
Timely diagnosis and multidisciplinary management can potentially improve outcomes.
Increased awareness and vigilance are necessary in high-risk obstetric patients.