Aortic dissection accompanied by preeclampsia in a postpartum young woman.
10.5468/ogs.2016.59.5.403
- Author:
Jin Wan PARK
1
;
Su Mi KIM
;
Gyu Bong YU
;
Yun Dan KANG
Author Information
1. Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea. yundan76@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic dissection;
Pre-eclampsia;
Pregnancy
- MeSH:
Anesthesia, Spinal;
Cardiopulmonary Resuscitation;
Cesarean Section;
Chest Pain;
Diagnosis;
Dyspnea;
Edema;
Emergencies;
Emergency Service, Hospital;
Female;
Heart Arrest;
Humans;
Obstetrics;
Postpartum Period*;
Pre-Eclampsia*;
Pregnancy;
Thorax
- From:Obstetrics & Gynecology Science
2016;59(5):403-406
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aortic dissection is very rare in obstetrics, but it is a fatal disease. A 37-weeks primigravida woman with dyspnea and pitting edema presented to our emergency room. The patient was diagnosed with preeclampsia and underwent an emergency cesarean section under spinal anesthesia. The patient complained of severe dyspnea after the cesarean section, and the chest computed tomography scan was done. With the finding of aortic dissection, cardiopulmonary arrest occurred 5 hours after the cesarean section, and the patient died without reaction to cardio-pulmonary resuscitation. If a patient with preeclampsia complains of severe dyspnea or chest pain, aortic dissection needs to be suspected and a diagnosis should not be delayed.
