• J Clin Anesth · Sep 2016

    Case Reports

    An atypical presentation of chronic Stanford type A aortic dissection during pregnancy.

    • Xiuhua Dong, Jiakai Lu, Weiping Cheng, and Chengbin Wang.
    • Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
    • J Clin Anesth. 2016 Sep 1; 33: 337340337-40.

    AbstractAortic dissection is a rare but devastating disease during pregnancy, usually presenting with sharp pains on the chest or back. We report a pregnant woman suffering from chronic Stanford type A aortic dissection presented with atypical symptoms without pain in the third trimester with markedly dilated aortic root and congestive heart failure, who received concomitant cesarean delivery and aortic repair with good maternal and fetal outcomes. Multidisciplinary approach and tight hemodynamic control are very important. More attention should be paid to those atypical symptoms so as to early identify this scarce but disastrous disease during pregnancy.Copyright © 2016 Elsevier Inc. All rights reserved.

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