• Chinese medical journal · Jun 2012

    Case Reports

    Two cases of acute aortic dissection following preeclampsia in non-Marfan patients.

    • Jian Huang, Hui Liu, and Yi-Ling Ding.
    • Department of Obstetrics and Gynecology, Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China. huangjian2566@hotmail.com
    • Chin. Med. J. 2012 Jun 1; 125 (11): 207320752073-5.

    AbstractAortic dissection accompanying with preeclampsia during pregnancy can be lethal to both the mother and the fetus and carries a high mortality. Of the 2 preeclampsia patients with aortic dissection, one was Type B aortic dissection, occurring in postpartum period. The patient was treated medically and underwent catheter-based stent-graft treatment with fenestration technique. Another patient was Type A acute dissection, occurring in the third trimester. This patient was undiagnosed and both died. Although extremely rare, aortic dissection might be a possibility in preeclampsia pregnant women, the differential diagnosis of chest and/or epigastric pain in preeclampia patient should be thoroughly investigated and treated.

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